Provider Demographics
NPI:1003253840
Name:FHS OUTPATIENT THERAPY INC
Entity Type:Organization
Organization Name:FHS OUTPATIENT THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ELMER
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ARCENAL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:352-509-3045
Mailing Address - Street 1:2685 SW 32ND PL STE 500
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-7867
Mailing Address - Country:US
Mailing Address - Phone:352-509-3045
Mailing Address - Fax:352-509-3046
Practice Address - Street 1:2685 SW 32ND PL STE 500
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7867
Practice Address - Country:US
Practice Address - Phone:352-509-3045
Practice Address - Fax:352-509-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)