Organization
DYNAMIC REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY FITZGERALD (OWNER)
(352) 688-3636
Entity
Organization
Contact information
Practice address
10512 NORTHCLIFFE BLVD, SPRING HILL, FL 34608-3766
(352) 688-3636
(352) 688-1333
Mailing address
10512 NORTHCLIFFE BLVD, SPRING HILL, FL 34608-3766
(352) 688-3636
(352) 688-1333
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
PTA15331
FL
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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