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NPI Code Detail

MEDICARE: REHABILITATION CONSULTANTS PA

MEDICARE: REHABILITATION CONSULTANTS PA
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
1208VP0000XPain Medicine PhysicianOS6278FL

General Provider Information

NPI Number : 1699947465
Entity Type Code : Organization
Provider Name (Legal Business Name) : REHABILITATION CONSULTANTS PA
Provider Business Mailing Address
First Line : PO BOX 60013
Second Line :
City : FORT MYERS
State : FL
Zip : 33906-6013
Country : US
Telephone Number : 239-768-5454
Fax Number : 239-768-5432
Provider Business Practice Location Address
First Line : 13685 DOCTORS WAY
Second Line : STE 190
City : FORT MYERS
State : FL
Zip : 33912-4336
Country : US
Telephone Number : 239-768-5454
Fax Number : 239-768-5432
Authorized Official
Title or Position : PRESIDENT
Name : DR. DEBRA K ROGGOW
Credential : D.O.
Telephone Number : 239-768-5454
Provider Enumeration Date : 04/01/2008
Last Update Date : 05/27/2008

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Directions to “REHABILITATION CONSULTANTS PA ” Practice Location

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