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Organization
KEY REHAB INC
Active
Organization
KEY REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A GREEN PT (OWNER KEY REHAB INC)
99413878450
Entity
Organization
Contact information
Practice address
5350 GULF OF MEXICO DRIVE, SUITE 205, LONGBOAT KEY, FL 34228
(941) 387-8450
(941) 387-9718
Mailing address
5350 GULF OF MEXICO DRIVE, SUITE 205, LONGBOAT KEY, FL 34228
(941) 387-8450
(941) 387-9718
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1733
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4656Z
MEDICARE ID - TYPE UNSPECIFIED
FL
Enumeration date
08/31/2006
Last updated
11/17/2010
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