Provider Demographics
NPI:1861550311
Name:ORTHOPEDIC REHAB SPECIALISTS, LLC
Entity type:Organization
Organization Name:ORTHOPEDIC REHAB SPECIALISTS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PARKER
Authorized Official - Middle Name:
Authorized Official - Last Name:EILAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-368-1672
Mailing Address - Street 1:2143 E FORT KING ST
Mailing Address - Street 2:STE 102
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-368-1672
Mailing Address - Fax:352-368-1751
Practice Address - Street 1:2143 E FORT KING ST
Practice Address - Street 2:STE 102
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2568
Practice Address - Country:US
Practice Address - Phone:352-368-1672
Practice Address - Fax:352-368-1751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
10-9532Medicare PIN