Provider Demographics
NPI:1801016092
Name:PRO MEDICAL & REHABILITATION CENTER INC
Entity Type:Organization
Organization Name:PRO MEDICAL & REHABILITATION CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:L
Authorized Official - Last Name:CABO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-882-0833
Mailing Address - Street 1:7706-B HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615
Mailing Address - Country:US
Mailing Address - Phone:813-882-0833
Mailing Address - Fax:813-882-0830
Practice Address - Street 1:7706 W HILLSBOROUGH AVE STE B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-4723
Practice Address - Country:US
Practice Address - Phone:813-882-0833
Practice Address - Fax:813-882-0830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)