REHAB SPECIALITY CENTER LLC


Address: 2112 W. Martin Luther King Jr. Blvd, Tampa, FL 33607
Phone: 7543036054

REHAB SPECIALITY CENTER LLC (NPI# 1841579778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841579778
Entity Type Organization
Organization Name REHAB SPECIALITY CENTER LLC
Practice Address 2112 W. Martin Luther King Jr. Blvd
Tampa
FL 33607
Practice Telephone 7543036054
Mailing Telephone 7543036054
Enumeration Date 2011-08-09
Last Update Date 2018-03-17
Authorized Official Name YSMARAY DIAZ (OWNER)
Authorized Official Telephone 8135064419
Authorized Official Credential LMT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
MA62393 FL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
FL LMT MA62393 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
6802 N Armenia Ave, Tampa, FL 336045776 (754) 303-6054

Office Location

Street Address 2112 W. MARTIN LUTHER KING JR. BLVD
City TAMPA
State FL
Zip Code 33607

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NPI Name Taxonomy Address Enumeration
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1821614413 Tammy Sue Alleyn Social Worker 4414 N. Armenia Av., Tampa, FL 33607 2020-06-19
1912528290 Advanced Mobile Medical Services Clinic/Center 2136 W. Mlk Blvd, Tampa, FL 33607 2020-04-28
1659909232 Rachel Sobiech Social Worker 2006 Pan Am Circle, Suite 270, Tampa, FL 33607 2020-03-30
1295379733 Melizza Liz Sanchez Ayala Registered Nurse 1701 N Lois Avenue, Valera Apt Unit 224, Tampa, FL 33607 2019-10-28
1720647191 Caretyme LLC Clinic/Center 1923 West St. John Street, Tampa, FL 33607 2019-06-10
1720545981 Amante Medical and Diabetic Center, P.a. Internal Medicine 1001 N Macdill Ave. Suite B, Tampa, FL 33607 2019-02-25
1609360908 Misty Dawn Ray Ross Social Worker 2902 N Armenia Ave Ste 200, Tampa, FL 33607 2018-06-20
1255825154 Kenneth Konrad Schirer Physical Therapist 2700 W Dr. Mlk Blvd, Suite 300, Tampa, FL 33607 2018-06-14
1902314875 Cardiac Cin of Florida, LLC Internal Medicine 3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 2018-01-13
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1134539273 Lotus Path Wellness Center Clinic/Center 3642 Madaca Ln, Tampa, FL 33618-2057 2014-04-29
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Competitor

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City TAMPA
Zip Code 33607

Improve Information

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Dataset Information

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.

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