Provider Demographics
NPI:1760072805
Name:DEMA REHAB & INJURY CLINIC INC
Entity Type:Organization
Organization Name:DEMA REHAB & INJURY CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OUADI
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-344-4242
Mailing Address - Street 1:7758 WALLACE RD STE A
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7218
Mailing Address - Country:US
Mailing Address - Phone:407-344-4242
Mailing Address - Fax:407-352-5883
Practice Address - Street 1:7758 WALLACE RD STE A
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7218
Practice Address - Country:US
Practice Address - Phone:407-344-4242
Practice Address - Fax:407-352-5883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty