Organization
NOVA-CARE REHAB SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YURIANO AGUILA PEREZ (OWNER)
(813) 888-6222
Entity
Organization
Contact information
Practice address
6301 MEMORIAL HWY, SUITE 304, TAMPA, FL 33615-4573
(813) 888-6222
(813) 888-6333
Mailing address
PO BOX 262435, TAMPA, FL 33685-2435
(813) 888-6222
(813) 888-6333
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC9428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC9428
AHCA
FL
Enumeration date
03/24/2015
Last updated
03/24/2015
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