| NPI | 1417023730 |
|---|---|
| Doing Business As | LAKE CENTRE FOR REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | GERALD GOLDSTEIN Vice President 352-728-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-04-22 |