Provider Demographics
NPI:1033220116
Name:R & R OUTPATIENT LLC
Entity Type:Organization
Organization Name:R & R OUTPATIENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BIRD
Authorized Official - Suffix:
Authorized Official - Credentials:CEO/OWNER
Authorized Official - Phone:352-629-6600
Mailing Address - Street 1:2516 SW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-4490
Mailing Address - Country:US
Mailing Address - Phone:352-629-6600
Mailing Address - Fax:352-351-0301
Practice Address - Street 1:2516 SW 27TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4490
Practice Address - Country:US
Practice Address - Phone:352-629-6600
Practice Address - Fax:352-351-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6866612251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL686661Medicare ID - Type UnspecifiedPROVIDER NUMBER