# TALLAHASSEE MEDICAL REHAB INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TALLAHASSEE MEDICAL REHAB INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417243122
- **Legal business name:** TALLAHASSEE MEDICAL REHAB INC
- **Authorized official:** JAMUNA SIVAKANTHAN M.D. (PRESIDENT)
- **Authorized official phone:** (850) 656-4800

## Contact information

- **Practice address:** 5222 PIPER LANE, SANFORD, FL 32771
- **Practice address phone:** (321) 363-4409
- **Practice address fax:** (321) 363-4781
- **Mailing address:** 5222 PIPER LANE, SANFORD, FL 32771
- **Mailing address phone:** (321) 363-4409
- **Mailing address fax:** (321) 363-4781

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/21/2011
- **Last updated:** 02/08/2018