Organization
ADVANCED INTEGRATED REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THURSTON D MCMILLEN MD (PRESIDENT/CEO)
(308) 631-8345
Entity
Organization
Contact information
Practice address
2803 GULF TO BAY BLVD, 150, CLEARWATER, FL 33759-4014
(308) 631-8345
Mailing address
2813 GULF TO BAY BLVD # 150, CLEARWATER, FL 33759-4014
(308) 631-8345
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME112409
FL
Other
Enumeration date
01/20/2017
Last updated
01/16/2025
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