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Contact Information

ADVANCED PHYSICAL MEDICINE & REHAB
2835 ALT 19
SUITE B
PALM HARBOR, FL34683-1926
 Phone: 727-748-4742
 Fax: 727-748-4739
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ADVANCED PHYSICAL MEDICINE & REHAB

NPI Number 1689058125
LBN Legal business name ADVANCED PHYSICAL MEDICINE & REHAB
Authorized official GLOYDIAN CRUZ-GOMEZ - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2015
Last updated 10/02/2015 - About 11 years ago
Identifiers
FL License # ME110430
FL Other 1336320787 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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