Organization
RENEW THERAPY CENTER OF PALM BAY, LLC
Active
Other names
Renew Therapy Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFONSO OCASIO (CLINIC ADMINISTRATOR)
(321) 768-9776
Entity
Organization
Contact information
Practice address
490 CENTRE LAKE DR NE, SUITE 100, PALM BAY, FL 32907-1189
(321) 768-9776
(321) 768-9739
Mailing address
490 CENTRE LAKE DR NE, SUITE 100, PALM BAY, FL 32907-1189
(321) 768-9776
(321) 768-9739
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
03/09/2006
Last updated
08/22/2020
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