Provider Demographics
NPI:1902857949
Name:FLORIDA REHAB CARE
Entity Type:Organization
Organization Name:FLORIDA REHAB CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DWIGHT
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:ANGELITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-422-9060
Mailing Address - Street 1:306 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-5619
Mailing Address - Country:US
Mailing Address - Phone:863-422-9060
Mailing Address - Fax:863-422-0035
Practice Address - Street 1:306 S 10TH ST
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-5619
Practice Address - Country:US
Practice Address - Phone:863-422-9060
Practice Address - Fax:863-422-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1290005586261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy