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Organization
SOUTHERN SPINAL REHAB, LLC
Active
Organization
SOUTHERN SPINAL REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN B HAAS D.C. (PRESIDENT / OWNER)
(850) 475-4227
Entity
Organization
Contact information
Practice address
91 W HOOD DR, PENSACOLA, FL 32534-3019
(850) 475-4227
(850) 475-8200
Mailing address
91 W HOOD DR, PENSACOLA, FL 32534-3019
(850) 475-4227
(850) 475-8200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6329
FL
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/17/2008
Last updated
03/17/2009
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