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Organization
REALHAB INC
Active
Organization
REALHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL T REED (EXECUTIVE VICE PRESIDENT)
(941) 776-5585
Entity
Organization
Contact information
Practice address
12159 US HIGHWAY 301 N, PARRISH, FL 34219-8678
(941) 776-5585
(941) 776-5655
Mailing address
12159 US HIGHWAY 301 N, PARRISH, FL 34219-8756
(941) 776-5585
(941) 776-5655
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202642733
TRICARE
FL
01
—
Y90T6
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/12/2006
Last updated
02/20/2025
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