Organization · NPI-2

1st Class Physical Medicine And Rehabilitation

Physical Medicine & Rehabilitation · Ocala, FL

NPI number1144637018
StatusActive
Last updated in NPPESMar 10, 2017

Details

NPI
1144637018
Entity type
Organization (NPI-2)
Legal business name
1st Class Physical Medicine And Rehabilitation
Organization subpart
No
Enumeration date
Jul 12, 2014
Last updated
Mar 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & RehabilitationME124242FLYes

Practice location

2275 Sw 22nd Ln
Ocala, FL 34471-7710

Phone 352-387-9889

Mailing address

2141 Ne 2nd St
Ocala, FL 34470-6950

Phone 419-573-2505

Authorized official

Melissa Marie Alvarez Perez
Owner
4195732505

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