MEDICARE: FLORIDA INJURY & REHABILITATION

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
1	208D00000X	General Practice Physician	ME 8351	FL
2	111N00000X	Chiropractor	DC 8263	FL

General Provider Information

NPI Number	:	1598897670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA INJURY & REHABILITATION

Provider Business Mailing Address
First Line	:	6220 S ORANGE BLOSSOM TRL
Second Line	:	SUITE 606
City	:	ORLANDO
State	:	FL
Zip	:	32809-4630
Country	:	US
Telephone Number	:	407-856-3833
Fax Number	:	407-856-2822

Provider Business Practice Location Address
First Line	:	6220 S ORANGE BLOSSOM TRL
Second Line	:	SUITE 606
City	:	ORLANDO
State	:	FL
Zip	:	32809-4630
Country	:	US
Telephone Number	:	407-856-3833
Fax Number	:	407-856-2822

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	MR. JEROLD FADEM
Credential	:	M.D.
Telephone Number	:	407-856-3833

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	09/11/2025

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