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NPI Code Detail

MEDICARE: WINDERMERE REHAB LLC

MEDICARE: WINDERMERE REHAB LLC
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
1314000000XSkilled Nursing FacilityFL

General Provider Information

NPI Number : 1952610016
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINDERMERE REHAB LLC
Provider Business Mailing Address
First Line : 4875 CASON COVE DR
Second Line :
City : ORLANDO
State : FL
Zip : 32811-6302
Country : US
Telephone Number : 407-420-2090
Fax Number : 407-420-5998
Provider Business Practice Location Address
First Line : 4875 CASON COVE DR
Second Line :
City : ORLANDO
State : FL
Zip : 32811-6302
Country : US
Telephone Number : 407-420-2090
Fax Number : 407-420-5998
Authorized Official
Title or Position : MGR
Name : JOHN E WARREN
Credential :
Telephone Number : 407-420-2090
Provider Enumeration Date : 10/06/2010
Last Update Date : 09/12/2011

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Directions to “WINDERMERE REHAB LLC ” Practice Location

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