Provider Demographics
NPI:1326497546
Name:CENTRAL FLORIDA HEALTH AND REHAB
Entity Type:Organization
Organization Name:CENTRAL FLORIDA HEALTH AND REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:ALEXANDRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-437-1642
Mailing Address - Street 1:3975 S ORANGE BLOSSOM TRL STE 105
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-7905
Mailing Address - Country:US
Mailing Address - Phone:407-437-1642
Mailing Address - Fax:
Practice Address - Street 1:3975 S ORANGE BLOSSOM TRL STE 105
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-7905
Practice Address - Country:US
Practice Address - Phone:407-437-1642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty