Organization
NORTH FLORIDA REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET S. OAKES (PRESIDENT)
(386) 758-2238
Entity
Organization
Contact information
Practice address
404 NW HALL OF FAME DR, LAKE CITY, FL 32055-4833
(386) 758-2238
(386) 758-2071
Mailing address
PO BOX 2134, LAKE CITY, FL 32056-2134
(386) 758-2238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT5220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
256082
AVMED PROV NUMBER
FL
01
—
R1C
BLUE CROSS PROV NUMBER
FL
Enumeration date
01/04/2007
Last updated
08/22/2020
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