Indian Rehabilitation Center, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

MM 28433 Issued in FL

Legal business name

INDIAN REHABILITATION CENTER, INC

Practice address

3636 University Blvd S
Ste A7
Jacksonville, FL 32216-4250

Phone

(904) 232-8468

Fax

(904) 232-8469

NPI assigned

Feb 29, 2012

Organization subpart

No

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

Authorized official

Name

Reiner Ferrer

Title

Manager

Phone

(904) 232-8468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1780958314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16717",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322456717",
            "telephone_number": "904-232-8468",
            "fax_number": "904-232-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 UNIVERSITY BLVD S",
            "address_2": "STE A7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164250",
            "telephone_number": "904-232-8468",
            "fax_number": "904-232-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "FERRER",
        "authorized_official_first_name": "REINER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-232-8468"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "FL",
            "license": "MM 28433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, 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 Jun 15, 2012; 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.