Healthcare Provider Details

I. General information

NPI: 1073135612
Provider Name (Legal Business Name): FOCUS REHAB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2020
Last Update Date: 05/16/2020
Certification Date: 05/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19706 WILD WATER CV
LUTZ FL
33559-7387
US

IV. Provider business mailing address

19706 WILD WATER CV
LUTZ FL
33559-7387
US

V. Phone/Fax

Practice location:
  • Phone: 813-957-5885
  • Fax:
Mailing address:
  • Phone: 813-957-5885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. AKHIL DAS
Title or Position: MANAGING MEMBER/OWNER
Credential: DPT
Phone: 813-957-5885