Organization
PHYSICAL MEDICINE OF KISSIMMEE INC
Active
Other names
Advanced Physical Medicine Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL M DE LOS REYES D.C. (OWNER)
(407) 282-3615
Entity
Organization
Contact information
Practice address
2920 PLEASANT HILL RD, KISSIMMEE, FL 34746-3061
(407) 282-3615
(407) 275-7221
Mailing address
2920 PLEASANT HILL RD, KISSIMMEE, FL 34746-3061
(407) 282-3615
(407) 275-7221
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
CH10807
FL
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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