Provider Demographics
NPI:1144346214
Name:REHAB RX CORP
Entity type:Organization
Organization Name:REHAB RX CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:727-669-4245
Mailing Address - Street 1:4703 NW 53RD AVE
Mailing Address - Street 2:SUITE B4
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-8315
Mailing Address - Country:US
Mailing Address - Phone:352-371-9103
Mailing Address - Fax:352-371-9104
Practice Address - Street 1:4703 NW 53RD AVE
Practice Address - Street 2:SUITE B4
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-8315
Practice Address - Country:US
Practice Address - Phone:352-371-9103
Practice Address - Fax:352-371-9104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRG7OtherBC FAC PROV NUMBER
FLRG7OtherBC FAC PROV NUMBER