Provider Demographics
NPI:1801287297
Name:A & B QUALITY CARE REHABILITATION
Entity type:Organization
Organization Name:A & B QUALITY CARE REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTER AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARACELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:718-664-5681
Mailing Address - Street 1:2723 RUNNING SPRINGS LOOP
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9638
Mailing Address - Country:US
Mailing Address - Phone:718-664-5681
Mailing Address - Fax:
Practice Address - Street 1:2723 RUNNING SPRINGS LOOP
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9638
Practice Address - Country:US
Practice Address - Phone:718-664-5681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27525261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy