MEDICARE: COMPLETE CARE & REHAB, 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	111N00000X	Chiropractor	CH8064	FL

General Provider Information

NPI Number	:	1851531461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPLETE CARE & REHAB, INC

Provider Business Mailing Address
First Line	:	1704 WOOLCO WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-2852
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1704 WOOLCO WAY
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32822-2852
Country	:	US
Telephone Number	:	407-482-9714
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WINSER JEAN
Credential	:
Telephone Number	:	407-482-9714

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	02/23/2009

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