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Organization
ISLAND COAST PAIN & REHABILITATION ASSOCIATES, INC.
Active
Organization
ISLAND COAST PAIN & REHABILITATION ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY J CRAWFORD (OFFICE MANAGER)
(239) 772-3232
Entity
Organization
Contact information
Practice address
1404 DEL PRADO BLVD S, SUITE 110, CAPE CORAL, FL 33990-3789
(239) 772-3232
(239) 458-3272
Mailing address
1404 DEL PRADO BLVD S, SUITE 110, CAPE CORAL, FL 33990-3789
(239) 772-3232
(239) 458-3272
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2006
Last updated
04/11/2012
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