Organization
UNIVERSAL REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMENUEL G ACOSTA M.D (OWNER)
(813) 964-6863
Entity
Organization
Contact information
Practice address
610 W WATERS AVE STE J, TAMPA, FL 33604-2951
(813) 964-6863
(813) 964-6864
Mailing address
610 W WATERS AVE STE J, TAMPA, FL 33604-2951
(813) 964-6863
(813) 964-6864
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC7017
FL
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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