Organization
SARASOTA REHAB ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER DEJESUS MD (PRESIDENT)
(941) 921-8645
Entity
Organization
Contact information
Practice address
6400 EDGELAKE DRIVE, HEALTHSOUTH REHAB HOSPITAL OF SARASOTA, SARASOTA, FL 34240-8813
(941) 921-8645
Mailing address
6400 EDGELAKE DRIVE, HEALTHSOUTH REHAB HOSPITAL OF SARASOTA, SARASOTA, FL 34240-8813
(941) 921-8645
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME0077137
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258701700
—
FL
Enumeration date
08/29/2007
Last updated
12/20/2012
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