| Rehab Care Specialist | |
|
8550 Ne 138th Ln Bldg 800 Lady Lake FL 32159-6816 | |
| (352) 391-5299 | |
| (877) 786-6531 |
| Full Name | Rehab Care Specialist |
|---|---|
| Speciality | Internal Medicine |
| Location | 8550 Ne 138th Ln Bldg 800, Lady Lake, Florida |
| Authorized Official Name and Position | Deborah A Townsend (OFFICE MANAGER) |
| Authorized Official Contact | 3523915299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rehab Care Specialist 8550 Ne 138th Ln Bldg 800 Lady Lake FL 32159-6816 Ph: (352) 391-5299 | Rehab Care Specialist 8550 Ne 138th Ln Bldg 800 Lady Lake FL 32159-6816 Ph: (352) 391-5299 |
| NPI Number | 1346733995 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 06/08/2018 |
| Medicare PECOS PAC ID | 3476895897 |
|---|---|
| Medicare Enrollment ID | O20190503000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346733995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Abu N Azizullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538130117 PECOS PAC ID: 8921073396 Enrollment ID: I20040902001220 |
| Provider Name | Fuad Shatila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043393531 PECOS PAC ID: 7315044518 Enrollment ID: I20140108001084 |
| Provider Name | Connie Renea Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386028173 PECOS PAC ID: 1658540133 Enrollment ID: I20170201002519 |
| Provider Name | Kimberly M Biichle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003228628 PECOS PAC ID: 4587956917 Enrollment ID: I20190621000488 |
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