PHYSICIAL MEDICINE & REHAB CONSULTANTS (NPI# 1356843106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356843106 |
Entity Type | Organization |
Organization Name | PHYSICIAL MEDICINE & REHAB CONSULTANTS |
Other Organization Name | REGENMED OF FLORIDA |
Practice Address |
18865 State Road 54 Ste 301 Lutz FL 33558 |
Mailing Address |
18865 State Road 54 Ste 301 Lutz FL 33558-8201 |
Practice Telephone | 8134597711 |
Mailing Telephone | 8134597711 |
Enumeration Date | 2018-03-07 |
Last Update Date | 2018-08-02 |
Authorized Official Name | MR. JOHN DAVID BARR (OWNER) |
Authorized Official Telephone | 8135497711 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
RegenMed of Florida | Doing Business As Name - Organization |
Street Address |
18865 STATE ROAD 54 STE 301 |
City | LUTZ |
State | FL |
Zip Code | 33558 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
1114080652 | Adenike Christiana Gansallo | Pharmacist | 4102 Heritage Lake Ct, Lutz, FL 33558 | 2006-12-18 |
Find all providers in zip 33558 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780218180 | Alicia's LLC | Clinic/Center | 6798 Crosswinds Dr N Ste C102, St Petersburg, FL 33710-5477 | 2020-02-25 |
1457815474 | Kadia Medical, LLC | Clinic/Center | 813 Deltona Blvd Ste A, Deltona, FL 32725-7154 | 2019-01-23 |
1891262358 | First Coast Pain Consultants Pllc | Clinic/Center | 105 Whitehall Dr Ste 115, St Augustine, FL 32086-5269 | 2018-11-01 |
1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
1710482948 | Aktive Motion Physical Therapy Inc | Clinic/Center | 1250 9th St N Ste 204, Naples, FL 34102 | 2018-03-28 |
1962917153 | Rejuveunique, Inc | Clinic/Center | 4259 10th Ave N Ste B, Palm Springs, FL 33461-2323 | 2017-12-10 |
1457866782 | Freedom Pain Management, Lcc | Clinic/Center | 8198 S Jog Rd Ste 100, Boynton Beach, FL 33472-2998 | 2017-12-08 |
1134632474 | North Florida Sports and Spine Center Inc. | Clinic/Center | 1540 Business Center Dr Ste C, Fleming Island, FL 32003-4419 | 2017-11-08 |
1295247948 | Emed Urgent and Primary Care Pa | Clinic/Center | 2570 Atlantic Boulevard, Jacksonville, FL 32207 | 2017-11-02 |
1730611526 | Metro Medical Center Corporation | Clinic/Center | 3940 Metro Pkwy Ste 103, Fort Myers, FL 33916-9407 | 2017-03-30 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.