Organization
SPECTRUM REHABILITATION AND WELLNESS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL VICENTE MEDINA (OWNER)
(407) 587-9580
Entity
Organization
Contact information
Practice address
341 N MAITLAND AVE STE 290, MAITLAND, FL 32751-4761
(321) 295-7170
(321) 697-7002
Mailing address
341 N MAITLAND AVE STE 290, MAITLAND, FL 32751-4761
(321) 295-7170
(321) 697-7002
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
06/03/2006
Last updated
03/26/2020
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