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Organization
HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC
Active
Organization
HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC
Active
Other names
Heartland Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
15260 NW 147TH DR, ALACHUA, FL 32615-5309
(386) 462-4349
(386) 418-0824
Mailing address
540 KINGSLEY AVE, ORANGE PARK, FL 32073-4847
(904) 264-2156
(904) 264-8350
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028496300
—
FL
01
—
102701
AVMED
FL
01
—
160630535
DEPARTMENT OF LABOR
FL
01
—
1617682
CIGNA
FL
01
—
4477946
AETNA NON-HMO
FL
05
—
8845212-35
—
FL
01
—
Q1C
BCBS
FL
Enumeration date
09/22/2006
Last updated
04/20/2008
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