Provider Demographics
NPI:1386895472
Name:ORLANDO MEDICAL & REHAB CENTER INC.
Entity type:Organization
Organization Name:ORLANDO MEDICAL & REHAB CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:YUSDANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-935-1944
Mailing Address - Street 1:6800 N DALE MABRY HWY STE 198
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-3997
Mailing Address - Country:US
Mailing Address - Phone:813-884-1944
Mailing Address - Fax:813-884-1955
Practice Address - Street 1:6800 N DALE MABRY HWY STE 198
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-3997
Practice Address - Country:US
Practice Address - Phone:813-884-1944
Practice Address - Fax:813-884-1955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
208D00000X
FL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty