Organization
PALM BAY REHAB CLINIC INC
Active
Organization
PALM BAY REHAB CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CARRIE C TIZIANI (OWNER)
(813) 374-9530
Entity
Organization
Contact information
Practice address
3115 W COLUMBUS DR, SUITE 109, TAMPA, FL 33607-1865
(813) 374-9530
(813) 374-9541
Mailing address
3115 W COLUMBUS DR, SUITE 109, TAMPA, FL 33607-1865
(813) 374-9530
(813) 374-9541
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
22797
FL
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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