Organization
REHABILITATION MEDICAL GROUP
Active
Other names
MICHAEL J CREAMER DO
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF BOGAN (PHCY MGR)
(904) 962-2123
Entity
Organization
Contact information
Practice address
100 W GORE ST, STE 203, ORLANDO, FL 32806-1044
(407) 649-8707
Mailing address
LINEAR RX, PO BOX 10890, JACKSONVILLE, FL 32247
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
056307
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016270
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/14/2006
Last updated
03/12/2008
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