Organization
MEDICAL REHABILITATION ASSOCIATES, INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL RANDOLPH SHELTON MD (PRESIDENT)
(304) 809-5312
Entity
Organization
Contact information
Practice address
6086 AUBURN CT, BURLINGTON, KY 41005-8022
(304) 809-5312
(410) 250-7756
Mailing address
1964 HOWELL BRANCH RD STE 108, WINTER PARK, FL 32792-1042
(407) 681-2241
(407) 279-6779
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100210600
—
KY
Enumeration date
10/04/2005
Last updated
06/09/2025
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