Organization
THE ISLANDS THERAPEUTIC AND REHABILITATIVE CENTER, LLC
Active
Organization
THE ISLANDS THERAPEUTIC AND REHABILITATIVE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN FRANKLIN CHACO LMT (OWNER)
(813) 962-4158
Entity
Organization
Contact information
Practice address
3820 GUNN HWY UNIT AB, TAMPA, FL 33618-8720
(813) 962-4158
(813) 962-4768
Mailing address
3820 GUNN HWY UNIT AB, TAMPA, FL 33618-8720
(813) 962-4158
(813) 962-4768
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MA46993
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427228048
NPI
FL
Enumeration date
04/07/2010
Last updated
04/07/2010
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