Organization Name: | SOLUTION MEDICAL REHABILITATION |
NPI Number: | 1366788523 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ISRAEL ALONSO (MANAGER) |
Mailing Address: | 3980 Tampa Rd Suit#204 Oldsmar |
State: | FL US |
Postal Code: | 346773223 |
Phone Number: | 8133364926 |
Fax Number: | 8133364930 |
NPI Enumeration Date: | 12/17/2012 |
NPI Last Update Date: | 12/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | MM28041 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |