Cora Health Services Inc
Organization Active NPI Rehabilitation Clinic/Center · Winter Haven, FL
NPI 1417384686 · NPPES record last updated Oct 19, 2023
Key facts
- NPI
- 1417384686
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- License
- 261QR0400X (FL)
- Legal business name
- CORA HEALTH SERVICES INC
- Practice address
- 1601 6TH St SE Ste B
Winter Haven, FL 33880-4605 - Phone
- (863) 294-0350
- Fax
- (863) 294-0381
- NPI assigned
- Oct 3, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen R Krzyminski
- Title
- Executive Vice President
- Phone
- (419) 221-6717
Other NPIs on the same Medicare enrollment 14
Corporate family (same tax ID) 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000556 | FL | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 1759290992 |
16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winter Haven, FL; Saint Cloud, FL; Orlando, FL; Longwood, FL; Lakeland, FL; Kissimmee, FL; Haines City, FL |
National Provider Directory
- Tax ID family
- Coral Heath Services Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 261QR0400X | FL | Yes |
Addresses
Primary practice location
1601 6TH St SE Ste B
Winter Haven, FL 33880-4605
Mailing address
PO Box 150
Lima, OH 45802-0150
Phone (419) 221-6717
Other names
- CORA Physical Therapy - Winter Haven
Other providers in Winter Haven, FL
- Tracy Karlow Connell
- Amanda Michelle Conner
- Conviva Medical Center Management LLC
- Monica Varnes Cook
- Angela M Cooper
- Cora Rehabilitation
- Wendy Corea
- William J Corkins
- Rigo Cornejo
- Stephanie Arrouet Cornejo
All providers in Winter Haven, FL · Rehabilitation Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.