Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Advanced Rehabilitation Corp

Organization Physical Medicine & Rehabilitation Physician · NPI 1679956841

Southern Advanced Rehabilitation Corp is a Physical Medicine & Rehabilitation Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10723 Cory Lake Dr
Tampa, FL 33647-2725
Phone: (813) 986-4648
Fax: (813) 986-4648
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence ME107516 (FL)

Record details

NPI number1679956841
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Medina — President & Director · (813) 986-4648
NPI enumeratedJuly 7, 2015
Last updated in NPPESJuly 7, 2015
Mailing address10723 Cory Lake Dr, Tampa, FL 33647-2725

Other providers in Tampa