Provider Demographics
NPI:1538552245
Name:A REHAB MEDICAL CENTER LLC
Entity type:Organization
Organization Name:A REHAB MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:REPPY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-307-0933
Mailing Address - Street 1:500 W DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3402
Mailing Address - Country:US
Mailing Address - Phone:813-307-0933
Mailing Address - Fax:813-307-0657
Practice Address - Street 1:500 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3402
Practice Address - Country:US
Practice Address - Phone:813-307-0933
Practice Address - Fax:813-307-0657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS7246261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care