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Organization
SPORT & SPINAL REHAB LLC
Active
Organization
SPORT & SPINAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON TRAVIS NEVEL D.C. (PRESIDENT)
(561) 406-6905
Entity
Organization
Contact information
Practice address
103 S US HIGHWAY 1 STE B4, JUPITER, FL 33477-5101
(561) 406-6905
(561) 406-6913
Mailing address
103 S US HIGHWAY 1 STE B4, JUPITER, FL 33477-5101
(561) 406-6905
(561) 406-6913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9605
FL
Other
Enumeration date
02/13/2013
Last updated
04/09/2019
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