Spine Rehabilitation Associates INC
Family Medicine in Sarasota, FL. Organization (NPI-2).
NPI number1437699485
StatusActive
Last updated in NPPESFeb 24, 2017
Details
- NPI
- 1437699485
- Entity type
- Organization (NPI-2)
- Legal business name
- Spine Rehabilitation Associates INC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2017
- Last updated
- Feb 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2401 University PkwySuite 106
Sarasota, FL 34243-2893
Phone 941-923-0999 · Fax 941-923-0090
Mailing address
2401 University PkwySuite 106
Sarasota, FL 34243-2893
Phone 941-923-0999 · Fax 941-923-0090
Authorized official
Edwin Detweiler
Owner
9419230999
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