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Organization
TOTAL ORTHOPEDIC REHABILITATION, INC
Active
Organization
TOTAL ORTHOPEDIC REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN JOSEPH EDWARDS D.C. (PRESIDENT)
(813) 541-2112
Entity
Organization
Contact information
Practice address
1115 DR MARTIN LUTHER KING JUNIOR BLVD, SEFFNER, FL 33584
(813) 654-8585
(813) 653-2965
Mailing address
1115 DR MARTIN LUTHER KING JUNIOR BLVD, SEFFNER, FL 33584
(813) 654-8585
(813) 653-2965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55202
BCBS
FL
Enumeration date
03/06/2008
Last updated
03/06/2008
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