Organization

Personal Rehabilitation Center, Inc.

Clinic/Center in Tampa, FL(View on Map)

Legal Business Name

Personal Rehabilitation Center, Inc.

NPI Number

1013126267

NPI Type

Organization

Enumeration Date

05/22/2007

Specialties

(Taxonomies)

Code

261Q00000X
111N00000X
225100000X

Primary Taxonomy

Yes
No
No

Licenses

State

Florida

License Number

HCC7364

Contact
Information

Purpose

Mailing
Location

Address

1931 W DR MARTIN LUTHER KING JR BLVD STE A
1931 W DR MARTIN LUTHER KING JR BLVD STE A

City

Tampa
Tampa

State

FL
FL

Postal Code

33607-6529
33607

Country

US
US

Telephone Number

(813) 443-4742
(813) 443-4742

Authorized Official

Name

Ariel Santos

Title or Position

OWNER

Telephone Number

(813) 443-4742

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/12/2019

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