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Excel Sports And Rehabilitation LLC

Durable Medical Equipment & Medical Supplies in Brandon, FL. Organization (NPI-2).

NPI number1659413755
StatusActive
Last updated in NPPESApr 22, 2008

Details

NPI
1659413755
Entity type
Organization (NPI-2)
Legal business name
Excel Sports And Rehabilitation LLC
Organization subpart
No
Enumeration date
Feb 13, 2007
Last updated
Apr 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes

Practice location

917 S Parsons Ave
Brandon, FL 33511-6008

Phone 813-957-6625 · Fax 813-319-3785

Mailing address

23110 State Road 54
183
Lutz, FL 33549-6933

Fax 813-319-3785

Authorized official

Jay Wright
Owner
8139576625

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