# BRANDON COMMUNITY HEALTH AND REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598926453
- **Authorized official:** ROBIN RENEE STONE (PRESIDENT)
- **Authorized official phone:** (813) 681-6100

## Contact information

- **Practice address:** 162 W ROBERTSON ST, BRANDON, FL 33511-5112
- **Practice address phone:** (813) 681-6100
- **Mailing address:** 162 W ROBERTSON ST, BRANDON, FL 33511-5112
- **Mailing address phone:** (813) 681-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | L05000002242 | FL | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 05/10/2010
