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Organization
CENTRAL FLORIDA MEDICAL &REHAB CENTER INC
Active
Organization
CENTRAL FLORIDA MEDICAL &REHAB CENTER INC
Active
Other names
Cetral Florida Physical Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN D BORSUM DC (CLINIC DIRECTOR CHIROPRACTOR)
(407) 263-3038
Entity
Organization
Contact information
Practice address
320 PINEY RIDGE ROAD, CASSELBERRY, FL 32707
(407) 263-3038
(407) 263-3079
Mailing address
320 PINEY RIDGE RD, CASSELBERRY, FL 32707-3806
(407) 263-3038
(407) 263-3079
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
HCC4523
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
647162
U.H.C
FL
01
—
C4051
BLUE CROSS BLUE SHEILD
FL
Enumeration date
05/08/2007
Last updated
05/07/2008
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