# TREASURE COAST PHYSICAL MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205271699
- **Authorized official:** REBEKAH LEAH CAMPBELL D.C. (OWNER)
- **Authorized official phone:** (561) 809-9805

## Contact information

- **Practice address:** 529 SE PALM BEACH RD, SUITE 102, STUART, FL 34994-2477
- **Practice address phone:** (772) 781-4044
- **Mailing address:** 529 SE PALM BEACH RD, SUITE 102, STUART, FL 34994-2477
- **Mailing address phone:** (772) 781-4044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS 5435 | FL | Yes |

## Other

- **Enumeration date:** 04/30/2013
- **Last updated:** 06/14/2013