OrganizationActive
Providential Health & Rehab, Inc.
NPI 1396950341 · Rehabilitation Hospital Unit · Orlando, FL
Provider details
- NPI number
- 1396950341
- Entity type
- Organization
- Primary specialty
- Rehabilitation Hospital UnitHospital Units
- Organization subpart
- No
- Authorized official
- Maximin Victor, Manager(407) 856-8584
- License
- HCC6145 (FL)
Specialties & taxonomies
Hospital Units
Practice location
5205 S Orange Ave Ste 102
Orlando, FL 32809-3067
Phone: (407) 856-8584
Approximate (ZIP-level) locationGet directions
Mailing address
5205 S Orange Ave Ste 102
Orlando, FL 32809-3067
Registry dates
- Enumerated
- 2007-05-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.