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Organization

GENESIS REHAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ADOLFO SANCHEZ MURALLON JR. PT (PHYSICAL THERAPIST)
(407) 384-8450
Entity
Organization

Contact information

Practice address
314 PALMWAY LN, ORLANDO, FL 32828-8518
(407) 384-8450
Mailing address
314 PALMWAY LN, ORLANDO, FL 32828
(407) 384-8450

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
5433
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5433
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
11/19/2012
Last updated
11/19/2012
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