Organization
TRI COUNTY REHAB SERVICES, LLC
Active
Organization
TRI COUNTY REHAB SERVICES, LLC
Active
Other names
Tri County Rehab Services, Inc. (replace with 1. above)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CRIMI JR. P.A. (MANAGER/OWNER)
(352) 427-8680
Entity
Organization
Contact information
Practice address
11531 SE US HWY 301, BELLEVIEW, FL 34420-4429
(352) 307-0105
(352) 307-1024
Mailing address
10762 SE US HWY 441, BELLEVIEW, FL 34420-3805
(352) 307-0105
(352) 307-0124
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
HCC8795
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003304300
—
FL
01
—
CZ758A
MEDICARE PART B PTAN#
—
Enumeration date
03/30/2010
Last updated
12/13/2012
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