Organization
FOCUS NEUROREHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY ELISE VILLEGAS OTR (OWNER)
(407) 362-1902
Entity
Organization
Contact information
Practice address
255 PRIMERA BLVD STE 160, LAKE MARY, FL 32746-2168
(407) 362-1902
(407) 804-9769
Mailing address
255 PRIMERA BLVD STE 160, LAKE MARY, FL 32746-2168
(407) 362-1902
(407) 804-9769
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
564320000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202949801
—
TX
Enumeration date
03/18/2009
Last updated
06/14/2022
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