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Organization
MEDICAL & REHAB OF HILLSBOROUGH INC
Active
Organization
MEDICAL & REHAB OF HILLSBOROUGH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO M HERNANDEZ (OWNER)
(813) 443-8221
Entity
Organization
Contact information
Practice address
2916 W WATERS AVE, TAMPA, FL 33614-1869
(813) 443-8221
(813) 443-1869
Mailing address
PO BOX 151686, TAMPA, FL 33684-1686
(813) 443-8221
(813) 443-1869
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261Q00000X
Clinic/Center
HCC10384
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109961000
—
FL
01
—
HCC10384
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
08/17/2016
Last updated
03/20/2024
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