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Organization
GULF COAST PHYSICAL MEDICINE, INC.
Active
Organization
GULF COAST PHYSICAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN R LEE D.C. (PRESIDENT)
(727) 541-2520
Entity
Organization
Contact information
Practice address
6250 PARK BLVD, PINELLAS PARK, FL 33781-3237
(727) 541-2520
(727) 544-8971
Mailing address
6250 PARK BLVD, PINELLAS PARK, FL 33781-3237
(727) 541-2520
(727) 544-8971
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381417300
—
FL
Enumeration date
12/31/2007
Last updated
12/31/2007
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