Provider Demographics
NPI:1871524462
Name:VRT HEALTHCARE CENTERS INC
Entity type:Organization
Organization Name:VRT HEALTHCARE CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALYN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BENEZETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:386-405-8551
Mailing Address - Street 1:3202 HENDERSON BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3099
Mailing Address - Country:US
Mailing Address - Phone:813-226-3888
Mailing Address - Fax:813-226-0949
Practice Address - Street 1:3202 HENDERSON BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3099
Practice Address - Country:US
Practice Address - Phone:813-226-3888
Practice Address - Fax:813-226-0949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4232225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD58538Medicare UPIN
FLD20720Medicare UPIN
FLK4396Medicare ID - Type UnspecifiedVRT MEDICARE NUMBER
FLE60482Medicare UPIN