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NPI Code Detail

MEDICARE: EMPOWERME REHABILITATION FLORIDA, LLC

MEDICARE: EMPOWERME REHABILITATION FLORIDA, LLC
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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1194411371
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPOWERME REHABILITATION FLORIDA, LLC
Provider Business Mailing Address
First Line : PO BOX 736005
Second Line :
City : DALLAS
State : TX
Zip : 75373-6005
Country : US
Telephone Number : 877-367-9772
Fax Number :
Provider Business Practice Location Address
First Line : 2200 LIVINGSTON RD
Second Line :
City : LAND O LAKES
State : FL
Zip : 34639-3416
Country : US
Telephone Number : 877-367-9772
Fax Number :
Authorized Official
Title or Position : VP OF FINANCE
Name : DAVID CHURCH
Credential :
Telephone Number : 618-972-5228
Provider Enumeration Date : 04/12/2023
Last Update Date : 10/02/2024

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Directions to “EMPOWERME REHABILITATION FLORIDA, LLC ” Practice Location

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