Healthcare Provider Details

I. General information

NPI: 1669644316
Provider Name (Legal Business Name): HEALTH AND REHAB OF AMERICA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 04/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 N PINE HILLS RD
ORLANDO FL
32808-6228
US

IV. Provider business mailing address

1261 N PINE HILLS RD
ORLANDO FL
32808-6228
US

V. Phone/Fax

Practice location:
  • Phone: 407-770-0038
  • Fax:
Mailing address:
  • Phone: 407-770-0038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number305ROOOOOX
License Number StateFL

VIII. Authorized Official

Name: DR. ROY PETER CARLSON
Title or Position: OWNER
Credential: DC
Phone: 407-770-0038