MEDICARE: FELICE CENTER FOR PEDIATRIC REHABILITATION, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist
3	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497011126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FELICE CENTER FOR PEDIATRIC REHABILITATION, INC.

Provider Business Mailing Address
First Line	:	7203 ALOMA AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-7101
Country	:	US
Telephone Number	:	321-972-3960
Fax Number	:

Provider Business Practice Location Address
First Line	:	7203 ALOMA AVE
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-7101
Country	:	US
Telephone Number	:	321-972-3960
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MR. VINCENZO VURRO
Credential	:	M.A.,CCC/SLP
Telephone Number	:	321-972-3960

Provider Enumeration Date	:	04/06/2012
Last Update Date	:	08/09/2016

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