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ADVANCED REHAB SPECIALTIES P.A. NPI 1295124329


NPI Information

NPI: 1295124329
Provider Name: ADVANCED REHAB SPECIALTIES P.A.

Doing Business As: ADVANCED WELLNESS & ORTHOPEDIC CENTER

Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
616 N PALMETTO ST
LEESBURG, FL
ZIP 34748
Phone: (352) 702-0850
Get Directions

ADVANCED REHAB SPECIALTIES P.A. is a sports medicine orthopaedic surgery in Leesburg, FL. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. ADVANCED REHAB SPECIALTIES P.A. NPI is 1295124329. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Wellness & Orthopedic Center.

The provider's business location address is:

616 N PALMETTO ST
LEESBURG, FL
ZIP 34748-417
Phone: (352) 702-0850
Fax: (352) 530-2476

The provider's authorized official is Kimberly Leann Allman .
The authorized official title is Practice Administrator and has the following contact phone number (352) 530-6676.

The enumeration date for this NPI number is 1/13/2015 and was last updated on 9/28/2023.


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
1261QI0500XClinic/CenterInfusion TherapyNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QP2300XClinic/CenterPrimary CareNo
4305R00000XPreferred Provider OrganizationNo
5207XX0005XOrthopaedic SurgerySports MedicineYes

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
11053190991OTHERFLORIDACMS NPI REGISTRY
2660209600OTHERFLORIDARURAL MEDICAID GROUP
31497955611OTHERFLORIDACMS NPI REGISTRY
4108973OTHERFLORIDARURAL MEDICARE GROUP
51407893571OTHERFLORIDACMS NPI REGISTRY
61932199197OTHERFLORIDACMS NPI REGISTRY
7P08228OTHERFLORIDAMEDICARE UPIN
8303171300MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.