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Organization
REHAB ONE, INC
Active
Organization
REHAB ONE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG GORDON (DIRECTOR)
(813) 265-2221
Entity
Organization
Contact information
Practice address
11809 N DALE MABRY HWY, TAMPA, FL 33618-3505
(813) 265-2221
(813) 908-3431
Mailing address
11809 N DALE MABRY HWY, TAMPA, FL 33618-3505
(813) 265-2221
(813) 908-3431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MM11002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R8R
BCBS
FL
Enumeration date
02/28/2006
Last updated
10/10/2007
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