Physical Medicine & Rehab Center PA

NPI #1962493122 in Kissimmee, Florida

Provider Information

NPI Number: 1962493122
Entity Type: Organization
Organization Name: Physical Medicine & Rehab Center PA
Primary Specialty: Specialist
Enumeration Date: Nov 4, 2005
Last Updated: Apr 23, 2009

Practice Location

Address: 1125 N CENTRAL AVE
City: Kissimmee
State: Florida
ZIP Code: 34741-4405
Phone: (407) 931-1887

Authorized Official

Name: DR. JOSEPHINE RACIMO ESTAMPADOR TAN, MD
Title: PRESIDENT
Phone: (407) 931-1887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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