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1366776312 NPI number — ACCESS REHAB & REJUVENATION, LLC

NPI Number: 1366776312
Health Care Provider/Practitioner: ACCESS REHAB & REJUVENATION, LLC

Information about “1366776312” NPI (ACCESS REHAB & REJUVENATION, LLC) exists in 1366776312 in HTML format HTML  |  1366776312 in plain Text format TXT  |  1366776312 in PDF (Portable Document Format) PDF  |  1366776312 in an XML format XML  formats.

NPI Number : 1366776312 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366776312",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ACCESS REHAB & REJUVENATION, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "208 S HARRISON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEVERLY HILLS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34465-4061",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-364-0045",
    "MailingAddressFaxNumber": "352-364-0047",
    "FirstLinePracticeLocationAddress": "208 S HARRISON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEVERLY HILLS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34465-4061",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-364-0045",
    "PracticeLocationAddressFaxNumber": "352-364-0047",
    "EnumerationDate": "09/23/2009",
    "LastUpdateDate": "09/23/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KALAKATA",
    "AuthorizedOfficialFirstName": "VIJAYASEKHARA",
    "AuthorizedOfficialMiddleName": "R",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "352-364-0045",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208100000X",
        "TaxonomyName": "Physical Medicine & Rehabilitation Physician",
        "LicenseNumber": "ME101929",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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