M & M REHAB INC (NPI# 1700017514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700017514 |
Entity Type | Organization |
Organization Name | M & M REHAB INC |
Other Organization Name | MID-FLORIDA PROSTHETICS & ORTHOTICS |
Practice Address |
2300 Se 17th St Suite 401 Ocala FL 34471-9107 |
Practice Telephone | 3523513207 |
Practice Fax Number | 3523513267 |
Mailing Telephone | 3523513207 |
Mailing Fax Number | 3523513267 |
Enumeration Date | 2009-07-29 |
Last Update Date | 2020-08-07 |
Authorized Official Name | MR. VICTOR BUSTAMANTE (PRESIDENT) |
Authorized Official Telephone | 3523313399 |
Authorized Official Credential | CPO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335E00000X | Prosthetic/Orthotic Supplier | POR89 | FL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 021846400 | 05 | |
FL | BLUE CROSS BLUE SHIELD | M0794 | 01 |
Other Name | Type Code |
---|---|
MID-FLORIDA PROSTHETICS & ORTHOTICS | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003022351 | M & M Rehab Inc | Prosthetic/Orthotic Supplier | 221 Sw Stonegate Ter Ste 107, Lake City, FL 32024-3463 | 2007-05-15 |
1578565842 | M & M Rehab Inc | Prosthetic/Orthotic Supplier | 6608 Nw 9th Blvd, Gainesville, FL 32605-4207 | 2005-06-01 |
1144222464 | M & M Rehab Inc | Prosthetic/Orthotic Supplier | 9401 Sw Highway 200, Bldg 400 Suite 404, Ocala, FL 34481-9612 | 2005-06-01 |
Street Address |
2300 SE 17TH ST SUITE 401 |
City | OCALA |
State | FL |
Zip Code | 34471-9107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619958212 | James Bradford Duke | Orthopaedic Surgery | 2300 Se 17th St, Suite 500, Ocala, FL 34471-9107 | 2005-11-10 |
1528461605 | Ocala Pain & Wellness Center, LLC | Pain Medicine | 2300 Se 17th St, Suite 1000, Ocala, FL 34471-9107 | 2014-10-02 |
1790111813 | Brittany Bradshaw Bascom | Physician Assistant | 2300 Se 17th St, 500, Ocala, FL 34471-9107 | 2013-09-20 |
1801178975 | Teri Cumpton Md Pl | Pain Medicine | 2300 Se 17th St, Building 1000, Ocala, FL 34471-9107 | 2011-09-15 |
1023318060 | Ocala Health Imaging Services LLC | Radiology | 2300 Se 17th St, Bldg 800, Ocala, FL 34471-9107 | 2010-10-25 |
1912213935 | Grodonoff Nelson | Family Medicine | 2300 Se 17th St, Suite 402, Ocala, FL 34471-9107 | 2010-08-27 |
1194044248 | Courtney Hart Yancey | Nurse Practitioner | 2300 Se 17th St, Suite 500, Ocala, FL 34471-9107 | 2010-05-27 |
1184705659 | Sara Jo Randolph | Registered Nurse | 2300 Se 17th St, Suite 500, Ocala, FL 34471-9107 | 2006-10-18 |
1124126172 | Joseph Edward Stanfield | Chiropractor | 2300 Se 17th St, 1100, Ocala, FL 34471-9141 | 2006-09-20 |
1548283799 | Jessica Lane Gomillion | Emergency Medicine | 2300 Se 17th St, St 500, Ocala, FL 34471-9107 | 2006-07-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
Find all providers in zip 34471 |
Taxonomy Code | 335E00000X |
Grouping | Suppliers |
Classification | Prosthetic/Orthotic Supplier |
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619509395 | Sky Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 3233 Sw 33rd Rd Ste 201, Ocala, FL 34474-8469 | 2020-02-10 |
1750844866 | Unique Lingerie Services LLC | Prosthetic/Orthotic Supplier | 4414 Sw College Rd Unit 1930, Ocala, FL 34474-4795 | 2019-04-08 |
1578909966 | South Beach Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 3915 Se Lake Weir Avenue, Ocala, FL 34480 | 2013-05-13 |
1477715472 | Unique Lingerie, Inc. | Prosthetic/Orthotic Supplier | 4414 Sw College Rd, Suite 1930, Ocala, FL 34474-4790 | 2008-06-30 |
1700902772 | Giuseppe P Lombardo | Prosthetic/Orthotic Supplier | 8530 Sw Highway 200, Ocala, FL 34481-2100 | 2007-03-22 |
1144222464 | M & M Rehab Inc | Prosthetic/Orthotic Supplier | 9401 Sw Highway 200, Bldg 400 Suite 404, Ocala, FL 34481-9612 | 2005-06-01 |
1801406251 | Prosthetic Institute of Central Florida | Prosthetic/Orthotic Supplier | 2206 Se 3rd Ave, Ocala, FL 34471-5103 | 2020-07-31 |
1033397476 | Lombardocomfort&casualshoesinc | Prosthetic/Orthotic Supplier | 8530 Sw Highway 200, Ocala, FL 34481-2100 | 2008-02-07 |
1770763997 | Angel Wear LLC | Prosthetic/Orthotic Supplier | 11100 Sw 93rd Court Rd, Suite #7, Ocala, FL 34481-5187 | 2007-11-05 |
1063601722 | Raymond J Masi | Prosthetic/Orthotic Supplier | 11100 Sw 93rd Court Rd, Suite #7, Ocala, FL 34481-5187 | 2007-10-18 |
Find all providers in OCALA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.