# COMPLETE MEDICAL SPINAL REHAB INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982012134
- **Authorized official:** VINCE CANCELOSA (PRESIDENT)
- **Authorized official phone:** (239) 455-4181

## Contact information

- **Practice address:** 12975 COLLIER BLVD STE 107, NAPLES, FL 34116-4004
- **Practice address phone:** (239) 455-4181
- **Practice address fax:** (239) 455-3896
- **Mailing address:** 12975 COLLIER BLVD STE 107, NAPLES, FL 34116-4004
- **Mailing address phone:** (239) 455-4181
- **Mailing address fax:** (239) 455-3896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2014
- **Last updated:** 08/12/2014