Provider Demographics
NPI:1679762959
Name:CENTRAL FLORIDA REHAB SPECIALISTS, INC
Entity Type:Organization
Organization Name:CENTRAL FLORIDA REHAB SPECIALISTS, INC
Other - Org Name:CYPRESS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RIAAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAN DER MERWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-687-3122
Mailing Address - Street 1:150 SE PLAZA ROADWAY
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33880-4736
Mailing Address - Country:US
Mailing Address - Phone:727-687-3122
Mailing Address - Fax:
Practice Address - Street 1:200 PARKVIEW PL
Practice Address - Street 2:2ND FLOOR
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-4548
Practice Address - Country:US
Practice Address - Phone:727-687-3122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)