Healthcare Provider Details

I. General information

NPI: 1619277928
Provider Name (Legal Business Name): REFLECTX STAFFING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2010
Last Update Date: 11/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 INTERNATIONAL PKWY
LAKE MARY FL
32746-5061
US

IV. Provider business mailing address

400 INTERNATIONAL PKWY
LAKE MARY FL
32746-5061
US

V. Phone/Fax

Practice location:
  • Phone: 800-632-2191
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RACHEL DAVIDOFF
Title or Position: OTR/L
Credential:
Phone: 800-632-2191