Organization Active NPI

Doctor Florida Rehabilitation, Inc.

  • Health Service Clinic/Center
  • Tampa, FL
National Provider Identifier
1881804292
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC5678 Issued in FL
Legal business name
DOCTOR FLORIDA REHABILITATION, INC.
Practice address
2123 W MLK Blvd
Suite 202
Tampa, FL 33607-6545
Phone
(813) 873-2000
Fax
(813) 873-2006
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Artenio Acosta
Title
Owner
Phone
(813) 873-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC5678 FL Primary

Addresses

Primary practice location

2123 W MLK Blvd
Suite 202
Tampa, FL 33607-6545

Mailing address

PO Box 4979
Tampa, FL 33677-4979
Phone (813) 873-2000

Other names 1

  • United Gables Medical Center, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

2123 W Mlk Blvd
Ste 202
Tampa, FL 33607
Phone (813) 873-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881804292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4979",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336774979",
            "telephone_number": "813-873-2000",
            "fax_number": "813-873-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 W MLK BLVD",
            "address_2": "SUITE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076545",
            "telephone_number": "813-873-2000",
            "fax_number": "813-873-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR FLORIDA REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "ARTENIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-873-2000"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC5678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Gables Medical Center, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.