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Organization
SPORTS SPECIALTY & REHABILITATION CENTER INC
Active
Organization
SPORTS SPECIALTY & REHABILITATION CENTER INC
Active
Parent organization
SPORTS SPECIALTY & REHABILITATION CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPORTS SPECIALTY & REHABILITATION CENTER, INC
Authorized official
ELKE C PRICE (ADMINISTRATOR)
(239) 573-1518
Entity
Organization
Contact information
Practice address
2328 HANCOCK BRIDGE PKWY, SUITE 103, CAPE CORAL, FL 33990-1459
(239) 574-7557
(239) 574-1315
Mailing address
2328 HANCOCK BRIDGE PKWY, SUITE 103, CAPE CORAL, FL 33990-1459
(239) 573-1518
(239) 573-7356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
FL
225X00000X
Occupational Therapist
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-6520
MEDICARE GROUP
FL
Enumeration date
07/20/2005
Last updated
01/18/2016
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