PHYSICAL REHAB CENTER INC NPI 1689819732

NPI Information

NPI: 1689819732
Provider Name: PHYSICAL REHAB CENTER, INC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 10D2153403

Address:
1936 W DR MARTIN LUTHER KING JR BLVD
SUITE 206
TAMPA, FL
ZIP 33607
Phone: (813) 870-1802
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PHYSICAL REHAB CENTER, INC is a rehabilitation clinic center in Tampa, FL. PHYSICAL REHAB CENTER, INC NPI is 1689819732. The provider is registered as an organization entity type.

The provider's business location address is:

1936 W DR MARTIN LUTHER KING JR BLVD
SUITE 206
TAMPA, FL
ZIP 33607-500
Phone: (813) 870-1802
Fax: (813) 870-1815

The provider's authorized official is Emmanuel Galang Acosta .
The authorized official title is President and has the following contact phone number (813) 870-1802.

The CLIA number assigned to this NPI record is 10D2153403 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2008 and was last updated on 12/3/2008.

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
1	261QR0400X	Clinic/Center	Rehabilitation	ME 67043	FLORIDA	Yes

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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