Organization
INDEPENDENCE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS EDUARDO RODRIGUEZ PT (PHYSICAL THERAPY)
(863) 409-6481
Entity
Organization
Contact information
Practice address
5241 NICHOLS DR E, LAKELAND, FL 33813-4077
(863) 409-6481
Mailing address
5241 NICHOLS DR E, LAKELAND, FL 33813-4077
(863) 409-6481
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
PT7865
FL
Other
Enumeration date
07/26/2006
Last updated
09/19/2007
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