Grigory Pogrebinsky MD PA
Physical Medicine & Rehabilitation, Pain Medicine in North Port, FL. Organization (NPI-2).
NPI number1508320342
StatusActive
Last updated in NPPESJan 25, 2019
Details
- NPI
- 1508320342
- Entity type
- Organization (NPI-2)
- Legal business name
- Grigory Pogrebinsky MD PA
- Organization subpart
- No
- Enumeration date
- Jan 25, 2019
- Last updated
- Jan 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | Yes |
Practice location
12450 Tamiami Trl S Unit ENorth Port, FL 34287-1473
Phone 917-502-0095
Mailing address
31 Boca Royale BlvdEnglewood, FL 34223-1887
Authorized official
Grigory Pogrebinsky
President
9175020095
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