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Organization
CONNERTON OUTPATIENT REHAB LLC
Active
Organization
CONNERTON OUTPATIENT REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT MALHOIT DC (PRESIDENT)
(813) 929-8885
Entity
Organization
Contact information
Practice address
8527 LAND O LAKES BLVD, LAND O LAKES, FL 34638
(813) 929-8885
(813) 929-8932
Mailing address
6761 LAND O LAKES BLVD, LAND O LAKES, FL 34638-3234
(813) 929-8885
(813) 929-8932
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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