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NPI Code Detail

MEDICARE: NORTH FLORIDA REHABILITATION, INC.

MEDICARE: NORTH FLORIDA REHABILITATION, 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
1174400000XSpecialistPT5220FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1256082OTHERFLAVMED PROV NUMBER
2R1COTHERFLBLUE CROSS PROV NUMBER

General Provider Information

NPI Number : 1679620710
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH FLORIDA REHABILITATION, INC.
Provider Business Mailing Address
First Line : PO BOX 2134
Second Line :
City : LAKE CITY
State : FL
Zip : 32056-2134
Country : US
Telephone Number : 386-758-2238
Fax Number :
Provider Business Practice Location Address
First Line : 404 NW HALL OF FAME DR
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-4833
Country : US
Telephone Number : 386-758-2238
Fax Number : 386-758-2071
Authorized Official
Title or Position : PRESIDENT
Name : MS. JANET S. OAKES
Credential :
Telephone Number : 386-758-2238
Provider Enumeration Date : 01/04/2007
Last Update Date : 08/22/2020

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Directions to “NORTH FLORIDA REHABILITATION, INC. ” Practice Location

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