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Organization
LEESBURG PAIN & REHAB, INC
Active
Organization
LEESBURG PAIN & REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD SUSSMAN (OWNER)
(305) 608-9248
Entity
Organization
Contact information
Practice address
32749 RADIO RD, LEESBURG, FL 34788-3901
(305) 608-9248
Mailing address
32749 RADIO RD, LEESBURG, FL 34788-3901
(305) 608-9248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9826
FL
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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