Provider Demographics
NPI:1386296762
Name:FLORIDA REHABILITY, INC
Entity type:Organization
Organization Name:FLORIDA REHABILITY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:NEHORAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-369-5127
Mailing Address - Street 1:1591 LOCKMEADE PL
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-5120
Mailing Address - Country:US
Mailing Address - Phone:813-369-5127
Mailing Address - Fax:813-315-6310
Practice Address - Street 1:1591 LOCKMEADE PL
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-5120
Practice Address - Country:US
Practice Address - Phone:813-369-5127
Practice Address - Fax:813-315-6310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty