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Organization
RENEW THERAPY CENTER OF PALM BAY, LLC
Active
Organization
RENEW THERAPY CENTER OF PALM BAY, LLC
Active
Other names
Renew Therapy Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFONSO OCASIO (CLINIC ADMINISTRATOR)
(321) 768-9776
Entity
Organization
Contact information
Practice address
490 CENTRE LAKE DR NE, SUITE 100, PALM BAY, FL 32907-1189
(321) 768-9776
(321) 768-9739
Mailing address
490 CENTRE LAKE DR NE, SUITE 100, PALM BAY, FL 32907-1189
(321) 768-9776
(321) 768-9739
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
08/22/2020
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