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NPI Code Detail

MEDICARE: E & Y MEDICAL CLINIC REHABILITATION CENTER INC

MEDICARE: E & Y MEDICAL CLINIC REHABILITATION CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QA0505XAdult Medicine Physician

General Provider Information

NPI Number : 1134985823
Entity Type Code : Organization
Provider Name (Legal Business Name) : E & Y MEDICAL CLINIC REHABILITATION CENTER INC
Provider Business Mailing Address
First Line : 6718 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-4064
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6718 N HIMES AVE
Second Line :
City : TAMPA
State : FL
Zip : 33614-4064
Country : US
Telephone Number : 813-353-3600
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : YASLEIDY MARTINEZ MORERA
Credential :
Telephone Number : 305-833-1410
Provider Enumeration Date : 02/21/2024
Last Update Date : 02/21/2024

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Directions to “E & Y MEDICAL CLINIC REHABILITATION CENTER INC ” Practice Location

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