Organization
ADVANCE REHAB & HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED HUSSEIN PT (OWNER)
(850) 522-4770
Entity
Organization
Contact information
Practice address
2316 W 23RD ST STE B, PANAMA CITY, FL 32405-2373
(850) 522-4770
(850) 522-4760
Mailing address
2316 W 23RD ST STE B, PANAMA CITY, FL 32405-2373
(850) 522-4770
(850) 522-4760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT8384
FL
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891217300
—
FL
01
—
BCBS INDUVIDUAL NUMB
Y6894
FL
01
—
Q6A
BCBS OF FL
FL
Enumeration date
07/19/2006
Last updated
03/15/2021
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