Advanced Integrated Rehabilitation, LLC
Physical Medicine & Rehabilitation, Pain Medicine in Clearwater, FL. Organization (NPI-2).
NPI number1023555695
StatusActive
Last updated in NPPESJan 16, 2025
Details
- NPI
- 1023555695
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Integrated Rehabilitation, LLC
- Organization subpart
- No
- Enumeration date
- Jan 20, 2017
- Certification date
- Jan 16, 2025
- Last updated
- Jan 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | ME112409 | FL | Yes |
Practice location
2803 Gulf To Bay Blvd150
Clearwater, FL 33759-4014
Phone 308-631-8345
Mailing address
2813 Gulf To Bay Blvd # 150Clearwater, FL 33759-4014
Phone 308-631-8345
Authorized official
Thurston D Mcmillen
President/Ceo
3086318345
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