MEDICARE: PHYSICAL MEDICINE & REHAB ASSOCIATES

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	225100000X	Physical Therapist	ME90312	FL

General Provider Information

NPI Number	:	1922208479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL MEDICINE & REHAB ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 490957
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34749-0957
Country	:	US
Telephone Number	:	352-255-4708
Fax Number	:	216-255-5186

Provider Business Practice Location Address
First Line	:	3371 WEDGEWOOD LN
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32162-7181
Country	:	US
Telephone Number	:	352-255-4708
Fax Number	:	216-255-5186

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	KALEEM SYED
Credential	:
Telephone Number	:	352-255-4708

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	07/23/2007

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