| Medical & Rehab Of Hillsborough Inc | |
|
2916 W Waters Ave Tampa FL 33614-1869 | |
| (813) 443-8221 | |
| (813) 443-1869 |
| Full Name | Medical & Rehab Of Hillsborough Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2916 W Waters Ave, Tampa, Florida |
| Authorized Official Name and Position | Pedro M Hernandez (OWNER) |
| Authorized Official Contact | 8134438221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical & Rehab Of Hillsborough Inc Po Box 151686 Tampa FL 33684-1686 Ph: (813) 443-8221 | Medical & Rehab Of Hillsborough Inc 2916 W Waters Ave Tampa FL 33614-1869 Ph: (813) 443-8221 |
| NPI Number | 1760937981 |
|---|---|
| Provider Enumeration Date | 08/17/2016 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Medicare PECOS PAC ID | 6103207550 |
|---|---|
| Medicare Enrollment ID | O20220718001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760937981 | NPI | - | NPPES |
| HCC10384 | Other | FL | AGENCY FOR HEALTH CARE ADMINISTRATION |
| 109961000 | Medicaid | FL |
| Provider Name | Joseph Walter King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255392890 PECOS PAC ID: 3678543444 Enrollment ID: I20141217002727 |
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