Organization Name: | LIFECARE OF CENTRAL FLORIDA, LLC |
NPI Number: | 1114009420 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM H JOHNSON (PRESIDENT) |
Mailing Address: | 398 Freeman St Longwood |
State: | FL US |
Postal Code: | 327504171 |
Phone Number: | 4076823600 |
Fax Number: | 4076827400 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 11/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Taxonomy Definition: |