INDIAN REHABILITATION CENTER, INC (NPI# 1780958314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780958314 |
| Entity Type | Organization |
| Organization Name | INDIAN REHABILITATION CENTER, INC |
| Practice Address |
3636 University Blvd S Ste A7 Jacksonville FL 32216-4250 |
| Mailing Address |
Po Box 16717 Jacksonville FL 32245-6717 |
| Practice Telephone | 9042328468 |
| Practice Fax Number | 9042328469 |
| Mailing Telephone | 9042328468 |
| Mailing Fax Number | 9042328469 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-06-15 |
| Authorized Official Name | REINER FERRER (MANAGER) |
| Authorized Official Telephone | 9042328468 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
MM 28433 | FL | Ambulatory Health Care Facilities |
| Street Address |
3636 UNIVERSITY BLVD S STE A7 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016987 | Samuel D Kulick | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2005-07-13 |
| 1902458722 | Covenant Home Health Care 4, LLC | Home Health | 3636 University Blvd S, Jacksonville, FL 32216-4250 | 2019-07-11 |
| 1801379409 | Bellavista Dermatology Group LLC | Dermatology | 3636 University Blvd S, Unit B2, Jacksonville, FL 32216 | 2018-09-10 |
| 1639528532 | Precision Eyewear of Wolchok Eye, LLC | Eyewear Supplier (Equipment, not the service) | 3636 University Blvd S, Suite A2, Jacksonville, FL 32216-4250 | 2016-06-10 |
| 1619371465 | Swapnilkumar P Patel | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2014-10-22 |
| 1689942302 | Adler Podiatry Clinic Pllc | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2011-12-08 |
| 1255567301 | Adler Podiatry and Wound Care LLC | Podiatrist | 3636 University Blvd S, Bldg C, Jacksonville, FL 32216-4250 | 2009-06-03 |
| 1356503007 | Osvaldo Contarini Md Pa | Surgery | 3636 University Blvd S, Bldg B, Jacksonville, FL 32216-4250 | 2008-06-25 |
| 1558491258 | Myron F Mass Md Pa | Allergy & Immunology | 3636 University Blvd S, Suite B-2, Jacksonville, FL 32216-4250 | 2007-03-06 |
| 1740324102 | Stephen Mark Wolchok | Ophthalmology | 3636 University Blvd S, A2, Jacksonville, FL 32216-4250 | 2007-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336769801 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 484 Riverside Ave, Jacksonville, FL 32202-4912 | 2020-04-24 |
| 1669039400 | Genesis Health Development, Inc. | Clinic/Center | 463721 Sr 200, Suite 7, Jacksonville, FL 32097 | 2019-05-28 |
| 1083179477 | Virtual Therapy Solutions LLC | Clinic/Center | 5048 Paradise Pond Ln, Jacksonville, FL 32207-7623 | 2019-02-10 |
| 1396283941 | Cora Health Services Inc | Clinic/Center | 15255 Max Leggett Pkwy Ste 5300, Jacksonville, FL 32218-7274 | 2017-02-03 |
| 1225381221 | Heartland Rehabilitation Services of Florida, LLC | Clinic/Center | 100 N Laura St, Floor 2, Jacksonville, FL 32202-3635 | 2012-10-16 |
| 1063709152 | Cora Health Services Inc. | Clinic/Center | 9527 Regency Square Blvd, Unit 105, Jacksonville, FL 32225-8806 | 2011-07-08 |
| 1063681831 | Genesis Health Development, Inc. | Clinic/Center | 2700 University Blvd W, Jacksonville, FL 32217-2147 | 2008-02-26 |
| 1164596649 | Heartland Rehabilitation Services of Florida LLC | Clinic/Center | 1045 Riverside Ave, Suite 190, Jacksonville, FL 32204-4127 | 2006-11-17 |
| 1912078445 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 12525 Philips Hwy Ste 111, Jacksonville, FL 32256-3740 | 2006-11-13 |
| 1407943160 | H2 Rehabilitation Services of Florida LLC | Clinic/Center | 4820 Deer Lake Drive West, Suite D-9, Jacksonville, FL 32246-4502 | 2006-10-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on INDIAN REHABILITATION CENTER, INC.
| 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.