Organization · Type 2 NPI

Lake Mary Spine & Rehabilitation Center

Clinic/Center · Davenport, FL

NPI number 1003473349 Active

Practice location

45677 Highway 27
Davenport, FL 33897-4546

Fax (440) 794-2331

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: 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).

Other clinic/center providers in Davenport

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NPI record

NPI: 1003473349
Entity type: Organization (Type 2)
Issued: May 22, 2019
Last updated: May 22, 2019
Status: Active
Subpart: Yes of Lake Mary Spine & Rehabilitation Center

Other names

Davenport Spine and Rehab Center · doing business as

Authorized official

Yanina Genao, DC
Owner/doctor
(407) 942-3258

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003473349

Lake Mary Spine & Rehabilitation Center's National Provider Identifier is 1003473349, issued on May 22, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Davenport, FL. The record was last updated on May 22, 2019.