Provider Demographics
NPI:1497874788
Name:CENTRAL FLORIDA REHAB CENTER, INC.
Entity Type:Organization
Organization Name:CENTRAL FLORIDA REHAB CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:YANICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMESLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-297-0194
Mailing Address - Street 1:6900 SILVER STAR RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-3297
Mailing Address - Country:US
Mailing Address - Phone:407-297-0194
Mailing Address - Fax:407-297-0737
Practice Address - Street 1:6900 SILVER STAR RD
Practice Address - Street 2:SUITE 210
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-3297
Practice Address - Country:US
Practice Address - Phone:407-297-0194
Practice Address - Fax:407-297-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC3990111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty