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General NPI Number Information
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NPI Number | 1669945119
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Entity Type | Organization
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Legal Business Name | CLEVELAND REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 01/08/2019
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 35 BARKLEY CIR STE 1&2
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City | FORT MYERS
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State | FL
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Zip | 33907-7601
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Country | US
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Telephone | 239-314-3555
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Fax | 239-314-3556
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Provider Business Mailing Address
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Address Line | 35 BARKLEY CIR STE 1&2
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City | FORT MYERS
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State | FL
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Zip | 33907-7601
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Country | US
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Telephone | 239-314-3555
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Fax | 239-314-3556
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Authorized Official
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Title or Position | PARTNER OWNER
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Name | MERCEDES PEREIRA
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Credential |
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Telephone | 239-314-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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