Organization
OPTIMUM REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIAN RUIZ (PRESIDENT)
(407) 323-6955
Entity
Organization
Contact information
Practice address
1061 S SUN DR STE 1089, LAKE MARY, FL 32746-6169
(407) 323-6955
(855) 306-2974
Mailing address
1061 S SUN DR STE 1089, LAKE MARY, FL 32746-6169
(407) 323-6955
(855) 306-2974
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015720500
—
FL
Enumeration date
01/22/2007
Last updated
11/15/2024
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