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Mjboman, LLC

Physical Medicine & Rehabilitation in Cape Coral, FL. Organization (NPI-2).

NPI number1851073449
StatusActive
Last updated in NPPESMay 8, 2024

Details

NPI
1851073449
Entity type
Organization (NPI-2)
Legal business name
Mjboman, LLC
Organization subpart
No
Enumeration date
Aug 2, 2023
Certification date
May 8, 2024
Last updated
May 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes

Other names

  • The Bridge Physical Therapy (Doing Business As)

Practice location

1807 Se 8th Ave
Cape Coral, FL 33990-2399

Phone 727-954-0125

Mailing address

1807 Se 8th Ave
Cape Coral, FL 33990-2399

Phone 727-954-0125

Authorized official

Michael Boman
Owner/Member
7279540125

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