Organization
PHYSICAL MEDICINE & REHABILITATION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR G CHAUDHARI MD (PRESIDENT OWNER)
(386) 775-7080
Entity
Organization
Contact information
Practice address
1133 SAXON BOULEVARD, ORANGE CITY, FL 32763
(386) 775-7080
(386) 775-8070
Mailing address
PO BOX 741240, PHYSICAL MEDICINE & REHABILITATION PA, ORANGE CITY, FL 32774
(386) 774-5211
(386) 774-5251
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME95874
—
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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