Organization
REY BARANDA, P.T., PHYSICAL THERAPY, REHAB & WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REY BARANDA P.T. (CEO/DIRECTOR OF REHAB)
(813) 715-7564
Entity
Organization
Contact information
Practice address
6536 STADIUM DR, SUITE E, ZEPHYRHILLS, FL 33542-7586
(813) 715-7564
(813) 782-4065
Mailing address
6536 STADIUM DR, SUITE E, ZEPHYRHILLS, FL 33542-7586
(813) 715-7564
(813) 782-4065
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891133900
—
FL
01
—
DF3454
MEDICARE RAILROAD
—
01
—
Y082W
BCBS
—
Enumeration date
10/05/2007
Last updated
10/01/2008
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