Provider Demographics
NPI:1922049303
Name:CLERMONT AND AREA REHABILITATION SOLUTIONS INC
Entity Type:Organization
Organization Name:CLERMONT AND AREA REHABILITATION SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:T
Authorized Official - Last Name:WEEKES
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:352-404-4523
Mailing Address - Street 1:PO BOX 648
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34755-0648
Mailing Address - Country:US
Mailing Address - Phone:352-404-4523
Mailing Address - Fax:352-536-6996
Practice Address - Street 1:1705 E HWY 50 STE A
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5186
Practice Address - Country:US
Practice Address - Phone:352-404-4523
Practice Address - Fax:352-536-6996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8760009368261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5672933OtherCCN/FIRST HEALTH
FLK8223Medicare ID - Type Unspecified