Provider Demographics
NPI:1346086600
Name:DOLPHIN MEDICAL REHAB INC
Entity type:Organization
Organization Name:DOLPHIN MEDICAL REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAAVEDRA CARCASSES
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:813-562-2954
Mailing Address - Street 1:15619 PREMIERE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-1332
Mailing Address - Country:US
Mailing Address - Phone:813-252-7626
Mailing Address - Fax:813-252-7672
Practice Address - Street 1:15619 PREMIERE DR STE 102
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-1332
Practice Address - Country:US
Practice Address - Phone:813-252-7626
Practice Address - Fax:813-252-7672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-06
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center