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Organization
FLORISSANT MEDICAL REHAB GROUP LLC
Active
Organization
FLORISSANT MEDICAL REHAB GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED SYED ALI MD (OWNER PARTNER)
(314) 736-1333
Entity
Organization
Contact information
Practice address
1025 DUNN RD, FLORISSANT, MO 63031-8205
(314) 736-1333
Mailing address
PO BOX 6441, CHESTERFIELD, MO 63006-6441
(314) 736-1333
(314) 736-1336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841732898
—
IL
05
—
500040207
—
MO
01
—
7592400001
MEDICARE NSC
MO
Enumeration date
11/08/2016
Last updated
09/27/2025
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