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Organization
PHYSICAL MEDICINE GROUP LLC
Active
Organization
PHYSICAL MEDICINE GROUP LLC
Active
Other names
INJURY MIDFLORIDA REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MLADEN ANTOLIC MD (MEDICAL DIRECTOR)
(407) 420-2199
Entity
Organization
Contact information
Practice address
1339 W COLONIAL DR, ORLANDO, FL 32804
(407) 420-2199
(407) 420-4599
Mailing address
1339 W COLONIAL DR, ORLANDO, FL 32804
(407) 420-2199
(407) 420-4599
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME 49756
FL
Other
Enumeration date
07/03/2007
Last updated
06/21/2018
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