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Organization
THE SHORELINE CLINIC, LLC
Active
Organization
THE SHORELINE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON IPO (PHYSICAL THERAPIST/OWNER)
(941) 371-5002
Entity
Organization
Contact information
Practice address
4426 BEE RIDGE RD, SARASOTA, FL 34233-2502
(941) 371-5002
(941) 371-5622
Mailing address
4426 BEE RIDGE RD, SARASOTA, FL 34233-2502
(941) 371-5002
(941) 371-5622
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
225100000X
Physical Therapist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
06/22/2023
Last updated
01/06/2024
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