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Organization
SKILLED REHAB, INC.
Active
Organization
SKILLED REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA L LONTOC (OFFICE MANAGER)
(813) 949-0003
Entity
Organization
Contact information
Practice address
1900 HIGHLAND OAKS BLVD, LUTZ, FL 33559-7323
(813) 949-0003
(813) 994-0302
Mailing address
1900 HIGHLAND OAKS BLVD, LUTZ, FL 33559-7323
(813) 949-0003
(813) 994-0302
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06654
UNIVERSAL PROVIDER#
FL
01
—
6482491
UHC PROVIDER #
FL
01
—
Y921R
BCBS PROVIDER #
FL
Enumeration date
08/03/2006
Last updated
08/22/2020
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