Organization · NPI-2

Agr Advanced Injury Rehab

Clinic/Center · Kissimmee, FL

NPI number1801398771
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1801398771
Entity type
Organization (NPI-2)
Legal business name
Agr Advanced Injury Rehab
Organization subpart
No
Enumeration date
Mar 6, 2018
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center–FLYes

Practice location

201 Hilda St Ste 21
Kissimmee, FL 34741-2359

Phone 407-572-8643

Mailing address

201 Hilda St Ste 21
Kissimmee, FL 34741-2359

Phone 407-572-8643

Other practice locations

609 Virginia Dr
Orlando, FL 32803-1844

Phone 407-572-8643

Authorized official

Frank Rodriguez
Doctor
5616010225

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