Provider Demographics
NPI:1902099393
Name:PREFERRED MEDICAL & REHAB. INC.
Entity Type:Organization
Organization Name:PREFERRED MEDICAL & REHAB. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHERY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:813-236-8936
Mailing Address - Street 1:PO BOX 15135
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33684-5135
Mailing Address - Country:US
Mailing Address - Phone:813-236-8936
Mailing Address - Fax:813-236-8935
Practice Address - Street 1:308 EAST MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3861
Practice Address - Country:US
Practice Address - Phone:813-236-8936
Practice Address - Fax:813-236-8935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC3812261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation