Organization
HEARTLAND REHABILITATION SERVICES OF FLORIDA LLC
Active
Other names
Heartland Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
15260 NW 147TH DR, ALACHUA, FL 32615-5309
(386) 462-4349
(386) 418-0824
Mailing address
540 KINGSLEY AVE, ORANGE PARK, FL 32073-4847
(904) 264-2156
(904) 264-8350
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028496300
—
FL
01
—
102701
AVMED
FL
01
—
160630535
DEPARTMENT OF LABOR
FL
01
—
1617682
CIGNA
FL
01
—
4477946
AETNA NON-HMO
FL
05
—
8845212-35
—
FL
01
—
Q1C
BCBS
FL
Enumeration date
09/22/2006
Last updated
04/20/2008
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