Basic Information
| Provider Information | |||||||||
| NPI: | 1245700244 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | INTEGRATED REHAB CONSULTANTS FLORIDA, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 N MICHIGAN AVE STE 1200 | ||||||||
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| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606114264 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2247778034 | ||||||||
| FaxNumber: | 2242364900 | ||||||||
| Practice Location | |||||||||
| Address1: | 1099 W TOWN PKWY | ||||||||
| Address2: | |||||||||
| City: | ALTAMONTE SPG | ||||||||
| State: | FL | ||||||||
| PostalCode: | 327143845 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2247778034 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/03/2018 | ||||||||
| LastUpdateDate: | 08/04/2022 | ||||||||
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| AuthorizedOfficialLastName: | PATEL | ||||||||
| AuthorizedOfficialFirstName: | AMIT | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO / OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2247778034 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/04/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 261QM1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No ID Information.