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NPI Code Detail

MEDICARE: DOCTOR FLORIDA REHABILITATION, INC.

MEDICARE: DOCTOR 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
1261QH0100XHealth Service Clinic/CenterHCC5678FL

General Provider Information

NPI Number : 1881804292
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTOR FLORIDA REHABILITATION, INC.
Provider Business Mailing Address
First Line : PO BOX 4979
Second Line :
City : TAMPA
State : FL
Zip : 33677-4979
Country : US
Telephone Number : 813-873-2000
Fax Number : 813-873-2006
Provider Business Practice Location Address
First Line : 2123 W MLK BLVD
Second Line : SUITE 202
City : TAMPA
State : FL
Zip : 33607-6545
Country : US
Telephone Number : 813-873-2000
Fax Number : 813-873-2006
Authorized Official
Title or Position : OWNER
Name : ARTENIO ACOSTA
Credential :
Telephone Number : 813-873-2000
Provider Enumeration Date : 05/23/2007
Last Update Date : 08/22/2020

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