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Organization
SPORTSPAIN & SPINAL REHAB INC.
Active
Organization
SPORTSPAIN & SPINAL REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKESH D. BHATT (PRESIDENT)
(772) 489-4001
Entity
Organization
Contact information
Practice address
2500 RHODE ISLAND AVE, FORT PIERCE, FL 34947-4771
(772) 489-4001
(772) 489-8411
Mailing address
PO BOX 30277, PALM BEACH GARDENS, FL 33420-0277
(772) 489-4001
(772) 489-8411
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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