M & M Rehab Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

POR89 Issued in FL

Legal business name

M & M REHAB INC

Doing business as

MID-FLORIDA PROSTHETICS & ORTHOTICS

Practice address

9401 SW Highway 200
BLDG 400 Suite 404
Ocala, FL 34481-9612

Phone

(352) 873-0925

Fax

(352) 351-3267

NPI assigned

Jun 1, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Victor Bustamante, CPO

Title

President

Phone

(352) 331-3399

Specialties & licenses 1

Addresses

Other names 1

• MID-FLORIDA PROSTHETICS & ORTHOTICS Doing business as

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1144222464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SE 17TH ST",
            "address_2": "STE 401",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719140",
            "telephone_number": "352-351-3207",
            "fax_number": "352-351-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 SW HIGHWAY 200",
            "address_2": "BLDG 400 SUITE 404",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344819612",
            "telephone_number": "352-873-0925",
            "fax_number": "352-351-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-331-3399",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "POR89",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MID-FLORIDA PROSTHETICS & ORTHOTICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MID-FLORIDA PROSTHETICS & ORTHOTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carole Lynch, RN
• Daniel Lynch, MD
• McKenzie Retino Lynch
• Donna J Lyness, CRNA
• Lisa Marie Lynn, LMHC
• M & M Rehab Inc
• M Em & M Inc
• M. R. Mack & Health LLC
• Ahmad Maaly
• Emily Logan Macauley, MD

• Prosthetic/Orthotic Supplier in Ocala, FL
• Providers in Ocala, FL by specialty
• Prosthetic/Orthotic Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.