Organization
PHYSICAL REHAB CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL GALANG ACOSTA M.D (PRESIDENT)
(813) 870-1802
Entity
Organization
Contact information
Practice address
1936 W DR MARTIN LUTHER KING JR BLVD, SUITE 206, TAMPA, FL 33607-6500
(813) 870-1802
(813) 870-1815
Mailing address
1936 W DR MARTIN LUTHER KING JR BLVD, SUITE 206, TAMPA, FL 33607-6500
(813) 870-1802
(813) 870-1815
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
ME 67043
FL
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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