Unified Rehabilitation PLLC
Clinic/Center, Rehabilitation in Winter Garden, FL. Organization (NPI-2).
NPI number1982178927
StatusActive
Last updated in NPPESDec 30, 2021
Details
- NPI
- 1982178927
- Entity type
- Organization (NPI-2)
- Legal business name
- Unified Rehabilitation PLLC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2019
- Certification date
- Dec 30, 2021
- Last updated
- Dec 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Practice location
14215 W Colonial DrWinter Garden, FL 34787-4208
Phone 407-595-8962
Mailing address
14215 W Colonial DrWinter Garden, FL 34787-4208
Phone 407-595-8962
Authorized official
Jeremiah Bradford
Managing Member
4075958962
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