Provider Demographics
NPI:1730212101
Name:METRO REHAB OF ORLANDO, INC.
Entity type:Organization
Organization Name:METRO REHAB OF ORLANDO, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZZETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCARAZ
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:407-482-0541
Mailing Address - Street 1:140 NORRIS PL
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-3431
Mailing Address - Country:US
Mailing Address - Phone:407-482-0541
Mailing Address - Fax:407-695-1370
Practice Address - Street 1:5390 HOFFNER AVE
Practice Address - Street 2:SUITE F
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-2458
Practice Address - Country:US
Practice Address - Phone:407-482-0541
Practice Address - Fax:407-695-1370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA-3421235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty