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Organization
SPINE SPORT & ALL FACETS OF REHAB CENTER INC
Active
Organization
SPINE SPORT & ALL FACETS OF REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOOFIA KHAN MD (AO)
(305) 731-4618
Entity
Organization
Contact information
Practice address
240 BLUESTONE PL, CASSELBERRY, FL 32707-4147
(305) 731-4618
Mailing address
240 BLUESTONE PL, CASSELBERRY, FL 32707-4147
(305) 731-4618
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/08/2017
Last updated
08/10/2023
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