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Organization
ELITE REHABILITATION AND PAIN MANAGEMENT LLC
Active
Organization
ELITE REHABILITATION AND PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WEBB DO (OWNER)
(914) 924-1494
Entity
Organization
Contact information
Practice address
901 CLEARWATER LARGO RD N, LARGO, FL 33770-4126
(727) 586-2999
Mailing address
1029 ROUNDSTONE PL, PALM HARBOR, FL 34683-1462
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OS14566
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS14566
FL
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R25Y9
BLUE CROSS
FL
Enumeration date
07/31/2017
Last updated
01/24/2018
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