Provider Type Icon

WATERS MEDICAL REHAB INC NPI 1124041322


NPI Information

NPI: 1124041322
Provider Name: WATERS MEDICAL REHAB, INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2120500

Address:
8019 N HIMES AVE
SUITE 202
TAMPA, FL
ZIP 33614
Phone: (813) 936-8121
Get Directions

WATERS MEDICAL REHAB, INC is a clinic center in Tampa, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WATERS MEDICAL REHAB, INC NPI is 1124041322. The provider is registered as an organization entity type.

The provider's business location address is:

8019 N HIMES AVE
SUITE 202
TAMPA, FL
ZIP 33614
Phone: (813) 936-8121
Fax: (813) 936-8906

The provider's authorized official is Jorge L Escobar .
The authorized official title is President and has the following contact phone number (813) 936-8121.

The CLIA number assigned to this NPI record is 10D2120500 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 10/21/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K8725MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.