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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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