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Organization
CENTRAL FLORIDA CLINIC FOR REHABILITATION
Active
Organization
CENTRAL FLORIDA CLINIC FOR REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADELINE GERRITS BROWN SCD,CCC-SP (ADMINISTRATOR-OWNER)
(352) 795-4114
Entity
Organization
Contact information
Practice address
5679 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7563
(352) 795-4114
(352) 563-2438
Mailing address
5679 W GULF TO LAKE HWY, CRYSTAL RIVER, FL 34429-7563
(352) 795-4114
(352) 563-2438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
HCCR2624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101374-0379
A VMED
FL
01
—
168089
HEALTHEASE
FL
01
—
1737737
FIRST HEALTH
FL
01
—
671853196
MED WAIVER-ADEPT
FL
05
—
880658600
—
FL
01
—
920841-2051
NETWORK SYNERGY
FL
01
—
C178
PEDIACARE
FL
01
—
R90
BLUE CROSS BLUE SHIELD
FL
Enumeration date
01/15/2007
Last updated
05/13/2025
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