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Contact Information

1ST CLASS PHYSICAL MEDICINE AND REHABILITATION
2275 SW 22ND LN
OCALA, FL34471-7710
 Phone: 352-387-9889
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for 1ST CLASS PHYSICAL MEDICINE AND REHABILITATION · (Female)

NPI Number 1144637018
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2014
Last updated 03/10/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME124242
  • OH Medicaid 0106786
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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