Organization
CENTRAL FLORIDA INJURY & REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROLD J FADEM JR. M.D. (MEDICAL DIRECTOR)
(407) 788-7778
Entity
Organization
Contact information
Practice address
940 CENTRE CIR, SUITE 1018, ALTAMONTE SPRINGS, FL 32714-7604
(407) 788-7778
(407) 788-7770
Mailing address
940 CENTRE CIR, SUITE 1018, ALTAMONTE SPRINGS, FL 32714-7604
(407) 788-7778
(407) 788-7770
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
FL
207R00000X
Internal Medicine Physician
Primary
—
FL
208100000X
Physical Medicine & Rehabilitation Physician
—
FL
Other
Enumeration date
03/13/2007
Last updated
06/08/2016
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