Provider Demographics
NPI:1881805588
Name:REHAB AND HEALTHCARE OF TAMPA INC.
Entity type:Organization
Organization Name:REHAB AND HEALTHCARE OF TAMPA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-374-0298
Mailing Address - Street 1:7819 N DALE MABRY HWY
Mailing Address - Street 2:SUITE 114
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614
Mailing Address - Country:US
Mailing Address - Phone:813-374-0298
Mailing Address - Fax:813-374-2224
Practice Address - Street 1:7819 N DALE MABRY HWY
Practice Address - Street 2:SUITE 114
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614
Practice Address - Country:US
Practice Address - Phone:813-374-0298
Practice Address - Fax:813-374-2224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM18237261QP2000X
FLAHCAHCC9572261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy