Organization
HCR MANOR CARE MEDICAL SERVICES OF FLORIDA LLC
Active
Other names
HEARTLAND CARE PARTNERS
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY A LAZARUS (VICE PRESIDENT)
(419) 252-5518
Entity
Organization
Contact information
Practice address
3425 EXECUTIVE PKWY, SUITE 131, TOLEDO, OH 43606-1326
(419) 531-2127
(419) 531-2664
Mailing address
3425 EXECUTIVE PKWY, SUITE 131, TOLEDO, OH 43606-1326
(419) 531-2127
(419) 531-2664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA0947
RAILROAD MEDICARE
FL
Enumeration date
05/15/2008
Last updated
05/15/2008
Update your record
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