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Organization
PELICAN SPORTS AND REHABILITATION, INC
Active
Organization
PELICAN SPORTS AND REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C VIA MSPT (VICE PRESIDENT)
(239) 591-4711
Entity
Organization
Contact information
Practice address
9051 TAMIAMI TRL N, SUITE 104, NAPLES, FL 34108-2596
(239) 591-4711
(239) 593-1195
Mailing address
9051 TAMIAMI TRL N, SUITE 104, NAPLES, FL 34108-2596
(239) 591-4711
(239) 593-1195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
FL
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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