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Motion Reboot LLC

Clinic/Center, Research in Dania Beach, FL. Organization (NPI-2).

NPI number1962036053
StatusActive
Last updated in NPPESMay 1, 2020

Details

NPI
1962036053
Entity type
Organization (NPI-2)
Legal business name
Motion Reboot LLC
Organization subpart
No
Enumeration date
Feb 27, 2020
Certification date
May 1, 2020
Last updated
May 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR1100X Clinic/Center, Research––Yes

Practice location

476 Se 14th St
Dania Beach, FL 33004-5335

Phone 954-289-2811

Mailing address

476 Se 14th St
Dania Beach, FL 33004-5335

Phone 954-289-2811

Authorized official

Ian Sharp
Ceo
9542892811

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