| Organization Name: | CORA HEALTH SERVICES INC |
| NPI Number: | 1124051305 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRAD C. ROUSH (EXECUTIVE VICE PRESIDENT) |
| Mailing Address: | 4110 34th Street S St. Petersburg |
| State: | FL US |
| Postal Code: | 337114367 |
| Phone Number: | 7278670737 |
| Fax Number: | 7278670738 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 04/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |