Provider Demographics
NPI:1609880970
Name:MARION DAKS REHAB INC
Entity Type:Organization
Organization Name:MARION DAKS REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BESHAY
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:352-307-0766
Mailing Address - Street 1:PO BOX 771393
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34473-1393
Mailing Address - Country:US
Mailing Address - Phone:352-307-0766
Mailing Address - Fax:352-307-4064
Practice Address - Street 1:13795 SW 36TH AVE
Practice Address - Street 2:RD # 5
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34473
Practice Address - Country:US
Practice Address - Phone:352-307-0766
Practice Address - Fax:352-307-4064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18496225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY022POtherBCBS
U0237AMedicare UPIN
FLY022POtherBCBS