MEDICARE: HEALTH AND REHAB OF AMERICA 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
1	302F00000X	Exclusive Provider Organization	305ROOOOOX	FL

General Provider Information

NPI Number	:	1669644316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH AND REHAB OF AMERICA INC

Provider Business Mailing Address
First Line	:	1261 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-6228
Country	:	US
Telephone Number	:	407-770-0038
Fax Number	:

Provider Business Practice Location Address
First Line	:	1261 N PINE HILLS RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32808-6228
Country	:	US
Telephone Number	:	407-770-0038
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROY PETER CARLSON
Credential	:	DC
Telephone Number	:	407-770-0038

Provider Enumeration Date	:	04/01/2008
Last Update Date	:	04/01/2008

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