Organization
DIAGNOSTIC CLINIC MEDICAL GROUP, PA
Active
Other names
MedFit Rehabilitation and Wellness Providers of Pinellas, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A.M. BOSMAN P.T. (CONSULTANT)
(727) 581-8767
Entity
Organization
Contact information
Practice address
1551 W BAY DR, REHABILITATION DEPARTMENT, LARGO, FL 33770-2209
(727) 531-8767
Mailing address
1551 WEST BAY DRIVE, ATTN: KELLY GREGG, LARGO, FL 33770-6805
(727) 531-8767
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW7076
FL
225100000X
Physical Therapist
Primary
PT 15206
FL
Other
Enumeration date
06/08/2005
Last updated
11/25/2020
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