Organization
CORA HEALTH SERVICES INC
Active
Other names
CORA Physical Therapy - Lake Placid
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN KRZYMINSKI (EXECUTIVE VICE PRESIDENT)
(419) 221-6717
Entity
Organization
Contact information
Practice address
490 US HIGHWAY 27 N STE 1190, LAKE PLACID, FL 33852-7923
(863) 471-1223
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
01
—
68-6943
MEDICARE OSCAR
FL
05
—
884156011
—
FL
01
—
QY4
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/09/2006
Last updated
07/18/2024
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