Organization Name: | CENTRAL FLORIDA MEDICAL &REHAB CENTER INC |
NPI Number: | 1053524850 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRYAN D BORSUM (CLINIC DIRECTOR CHIROPRACTOR) |
Mailing Address: | 320 Piney Ridge Road Casselberry |
State: | FL US |
Postal Code: | 32707 |
Phone Number: | 4072633038 |
Fax Number: | 4072633079 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 05/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | HCC4523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |