Organization Name: | CENTRAL FLORIDA CLINIC FOR REHABILITATION |
NPI Number: | 1225189525 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MADELINE GERRITS BROWN (ADMINISTRATOR-OWNER) |
Mailing Address: | 255 Se 7th Ave Crystal River |
State: | FL US |
Postal Code: | 344294891 |
Phone Number: | 3527954114 |
Fax Number: | 3525632438 |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 08/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | HCCR2624 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |