Physical Rehab Center, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

ME 67043 Issued in FL

Legal business name

PHYSICAL REHAB CENTER, INC

Practice address

1936 W Dr Martin Luther King Jr Blvd
Suite 206
Tampa, FL 33607-6500

Phone

(813) 870-1802

Fax

(813) 870-1815

NPI assigned

Dec 3, 2008

Last updated

Dec 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Galang Acosta, M.D

Title

President

Phone

(813) 870-1802

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1689819732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076500",
            "telephone_number": "813-870-1802",
            "fax_number": "813-870-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE 206",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076500",
            "telephone_number": "813-870-1802",
            "fax_number": "813-870-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL REHAB CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "GALANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-870-1802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "ME 67043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vania Phuoc, M.D.
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• Physical Medicine Health Center
• Physician Enterprises PL
• Physician Partners Associated, LLC (Advanced Relief Physicians Group)
• Physician Partners LLC
• Physician Partners of America Florida Medical Holdings LLC (Urgent Care of Florida)
• Physician Partners of America Florida Medical Holdings LLC (Florida Primary Care Clinics)

• Rehabilitation Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.