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NPI Code Detail

MEDICARE: REALHAB INC

MEDICARE: REALHAB 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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y90T6OTHERFLBLUE CROSS BLUE SHIELD
2202642733OTHERFLTRICARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710912373
Entity Type Code : Organization
Provider Name (Legal Business Name) : REALHAB INC
Provider Business Mailing Address
First Line : 12159 US HIGHWAY 301 N
Second Line :
City : PARRISH
State : FL
Zip : 34219-8756
Country : US
Telephone Number : 941-776-5585
Fax Number : 941-776-5655
Provider Business Practice Location Address
First Line : 12159 US HIGHWAY 301 N
Second Line :
City : PARRISH
State : FL
Zip : 34219-8678
Country : US
Telephone Number : 941-776-5585
Fax Number : 941-776-5655
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MR. MICHAEL T REED
Credential :
Telephone Number : 941-776-5585
Provider Enumeration Date : 07/12/2006
Last Update Date : 02/20/2025

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Directions to “REALHAB INC ” Practice Location

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