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Organization
PANACEA REHAB, LLC
Active
Organization
PANACEA REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BENJAMIN L GILBERT MSPT, MBA (OWNER)
(727) 343-6462
Entity
Organization
Contact information
Practice address
508A PASADENA AVE S, ST PETERSBURG, FL 33707-2126
(727) 278-8050
Mailing address
508A PASADENA AVE S, ST PETERSBURG, FL 33707-2126
(727) 278-8050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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