Organization
REHABILITATION MEDICAL GRP PA
Active
Parent organization
REHABILITATION MEDICAL GROUP PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
REHABILITATION MEDICAL GROUP PA
Authorized official
MS. DIANE GREEN (PRACTICE MANAGER)
(407) 649-8707
Entity
Organization
Contact information
Practice address
100 WEST GORE STREET STE 203, ORLANDO, FL 32806-1041
(407) 649-8707
(407) 649-8363
Mailing address
100 WEST GORE STREET STE 203, ORLANDO, FL 32806-1041
(407) 649-8707
(407) 649-8363
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
5000-0064/320-000615
FL
Other
Enumeration date
09/25/2006
Last updated
04/29/2010
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