Organization
REBOUND REHABILITATIVE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEMANT DASHARATHLAL PATEL PT (PRESIDENT)
(904) 824-1636
Entity
Organization
Contact information
Practice address
8081 PHILIPS HWY STE 5, JACKSONVILLE, FL 32256-7443
(904) 872-3100
(904) 872-3106
Mailing address
105 SOUTHPARK BLVD STE B201, SAINT AUGUSTINE, FL 32086-5159
(904) 824-1636
(904) 824-7488
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106714
MEDICARE PTAN
FL
01
—
Q81
BCBS
FL
Enumeration date
06/18/2019
Last updated
05/26/2020
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