Organization
KALIE REHABILITATION MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE KALIE MD (PRESIDENT)
(330) 465-3587
Entity
Organization
Contact information
Practice address
90 KENMORE AVE, PONTE VEDRA, FL 32081-0100
(330) 465-3587
Mailing address
90 KENMORE AVE, PONTE VEDRA, FL 32081-0100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
01/17/2024
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