Organization
PHYSICAL MEDICINE GROUP LLC
Active
Organization
PHYSICAL MEDICINE GROUP LLC
Active
Other names
INJURY MIDFLORIDA REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MLADEN ANTOLIC MD (MEDICAL DIRECTOR)
(407) 420-2199
Entity
Organization
Contact information
Practice address
1339 W COLONIAL DR, ORLANDO, FL 32804
(407) 420-2199
(407) 420-4599
Mailing address
1339 W COLONIAL DR, ORLANDO, FL 32804
(407) 420-2199
(407) 420-4599
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME 49756
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77164
BCBSFL
FL
Enumeration date
07/03/2007
Last updated
06/21/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up