South Rehabilitation Center, Inc.

LBN: South Rehabilitation Center, Inc.
South Rehabilitation Center, Inc. is an health care organization with primary practice located at 3975 S Orange Blossom Trl Ste 105 , Orlando FL 32839-7905. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. South Rehabilitation Center, Inc. can be contacted via phone (407) 601-4929, or through Daka, Dedrix via phone (904) 423-0017.

Contact Information

Primary practice address
3975 S Orange Blossom Trl Ste 105 Orlando FL 32839-7905
Phone: (407) 601-4929
Fax: (407) 730-3237
Website:
Map and Directions
Authorized official contact:
Name: Daka, Dedrix
Phone: (904) 423-0017

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1396016606
LBN Legal business name South Rehabilitation Center, Inc.
DBA Doing business as
Authorized official Daka, Dedrix
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2012
Last updated Mar 19th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396016606 NPPES
Florida MEDICAID 011926000
Florida MEDICAID 004720700

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