| South Rehabilitation Center, Inc. | |
|
3975 S Orange Blossom Trl Ste 105 Orlando FL 32839-7905 | |
| (407) 601-4929 | |
| (407) 730-3237 |
| Full Name | South Rehabilitation Center, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3975 S Orange Blossom Trl Ste 105, Orlando, Florida |
| Authorized Official Name and Position | Dedrix Daka (CEO) |
| Authorized Official Contact | 9044230017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Rehabilitation Center, Inc. 580 Ellis Rd S Ste 118 Jacksonville FL 32254-3567 Ph: (904) 423-0017 | South Rehabilitation Center, Inc. 3975 S Orange Blossom Trl Ste 105 Orlando FL 32839-7905 Ph: (407) 601-4929 |
| NPI Number | 1396016606 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396016606 | NPI | - | NPPES |
| 011926000 | Medicaid | FL | |
| 004720700 | Medicaid | FL |
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