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NPI Code Detail

MEDICARE: SARASOTA REHAB ASSOCIATES INC

MEDICARE: SARASOTA REHAB ASSOCIATES 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
1208100000XPhysical Medicine & Rehabilitation PhysicianME0077137FL

Other Identifiers

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

General Provider Information

NPI Number : 1578757878
Entity Type Code : Organization
Provider Name (Legal Business Name) : SARASOTA REHAB ASSOCIATES INC
Provider Business Mailing Address
First Line : 6400 EDGELAKE DRIVE
Second Line : HEALTHSOUTH REHAB HOSPITAL OF SARASOTA
City : SARASOTA
State : FL
Zip : 34240-8813
Country : US
Telephone Number : 941-921-8645
Fax Number :
Provider Business Practice Location Address
First Line : 6400 EDGELAKE DRIVE
Second Line : HEALTHSOUTH REHAB HOSPITAL OF SARASOTA
City : SARASOTA
State : FL
Zip : 34240-8813
Country : US
Telephone Number : 941-921-8645
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ALEXANDER DEJESUS
Credential : MD
Telephone Number : 941-921-8645
Provider Enumeration Date : 08/29/2007
Last Update Date : 12/20/2012

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Directions to “SARASOTA REHAB ASSOCIATES INC ” Practice Location

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