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REHABILITATION MEDICAL GRP PA NPI 1689774838


NPI Information

NPI: 1689774838
Provider Name: REHABILITATION MEDICAL GRP PA
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
100 WEST GORE STREET STE 203
ORLANDO, FL
ZIP 32806
Phone: (407) 649-8707
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REHABILITATION MEDICAL GRP PA is a pain clinic center in Orlando, FL. REHABILITATION MEDICAL GRP PA NPI is 1689774838. The provider is registered as an organization entity type.

The provider's business location address is:

100 WEST GORE STREET STE 203
ORLANDO, FL
ZIP 32806-041
Phone: (407) 649-8707
Fax: (407) 649-8363

The provider's authorized official is Diane Green .
The authorized official title is Practice Manager and has the following contact phone number (407) 649-8707.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 4/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP3300XClinic/CenterPain5000-0064/320-000615FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERFLORIDATAX ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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