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

2300 SE 17TH St
Suite 401
Ocala, FL 34471-9107

Phone

(352) 351-3207

Fax

(352) 351-3267

NPI assigned

Jul 29, 2009

Last updated

Aug 7, 2020By 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

Mr. Victor Bustamante, CPO

Title

President

Phone

(352) 331-3399

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MID-FLORIDA PROSTHETICS & ORTHOTICS Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• M & M Rehab Inc

  dba Mid-Florida Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Lake City, FL
  • NPI 1003022351

  5698896058

  Same PAC ID
• M & M Rehab Inc

  dba Mid Florida Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Tallahassee, FL
  • NPI 1326737636

  5698896058

  Same PAC ID
• M & M Rehab Inc

  dba Mid-Florida Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Gainesville, FL
  • NPI 1578565842

  5698896058

  Same PAC ID
• M & M Rehab., Inc.

  dba Mid-Florida Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Lady Lake, FL
  • NPI 1144640186

  5698896058

  Same PAC ID
• M & M Rehab., Inc.

  dba Mid-Florida Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Leesburg, FL
  • NPI 1871747386

  5698896058

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

M and M Rehab Dba Ortho7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• M & M Rehab Inc

  dba Mid-Florida Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Lake City, FL
  • NPI 1003022351
  NPD tax ID
• M & M Rehab Inc

  dba Mid Florida Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Tallahassee, FL
  • NPI 1326737636
  NPD tax ID
• M & M Rehab Inc

  dba Mid-Florida Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Gainesville, FL
  • NPI 1578565842
  NPD tax ID
• M & M Rehab Inc

  • Prosthetic/Orthotic Supplier
  • Jacksonville, FL
  • NPI 1730044942
  NPD tax ID
• M & M Rehab., Inc.

  dba Mid-Florida Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Lady Lake, FL
  • NPI 1144640186
  NPD tax ID
• M & M Rehab., Inc.

  dba Mid-Florida Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Leesburg, FL
  • NPI 1871747386
  NPD tax ID

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 Máximo (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": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1700017514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SE 17TH ST",
            "address_2": "SUITE 401",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719107",
            "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": "2300 SE 17TH ST",
            "address_2": "SUITE 401",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344719107",
            "telephone_number": "352-351-3207",
            "fax_number": "352-351-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & M REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021846400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M0794",
            "state": "FL"
        }
    ],
    "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"
        }
    ]
}

• Daniel Lynch, MD
• McKenzie Retino Lynch
• Donna J Lyness, CRNA
• Lisa Marie Lynn, LMHC
• M & M Rehab Inc (Mid-Florida Prosthetics & Orthotics)
• M Em & M Inc
• M. R. Mack & Health LLC
• Ahmad Maaly
• Emily Logan Macauley, MD
• Idalis Maceo Herrera

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.