Organization
CORA HEALTH SERVICES INC
Active
Other names
CORA Physical Therapy - Sun City Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN R KRZYMINSKI (EXECUTIVE VICE PRESIDENT)
(419) 221-6717
Entity
Organization
Contact information
Practice address
1513C SUN CITY CENTER PLAZA, SUN CITY CENTER, FL 33573
(813) 634-6022
(813) 634-6053
Mailing address
PO BOX 150, LIMA, OH 45802-0150
(419) 221-6717
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884156007
—
FL
01
—
QQ8
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
07/07/2006
Last updated
09/19/2023
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