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1396950341
PROVIDENTIAL HEALTH & REHAB, INC.
ORLANDO, FL
NPI
1396950341
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Entity Type
Organization
Authorized Contact
MAXIMIN VICTOR
Manager
407-856-8584
Organization Subpart ?
No
Primary Taxonomy
273Y00000X Rehabilitation Unit
(Licence: FL HCC6145)
Enumeration Date
2007-05-13
Last Update Date
2020-08-22
Business Address
PROVIDENTIAL HEALTH & REHAB, INC.
5205 S ORANGE AVE STE 102
ORLANDO, FL 32809-3067
Phone number: 407-856-8584
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Mailing Address
PROVIDENTIAL HEALTH & REHAB, INC.
5205 S ORANGE AVE STE 102
ORLANDO, FL 32809-3067
Phone number: 407-856-8584
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