Organization
ELITE AMBULATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH I TRIBIT PT (PRESIDENT)
(941) 544-7512
Entity
Organization
Contact information
Practice address
1690 SWEETLAND ST, NOKOMIS, FL 34275-1634
(941) 544-7512
Mailing address
1690 SWEETLAND ST, NOKOMIS, FL 34275-1634
(941) 544-7512
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 19775
FL
Other
Enumeration date
05/07/2007
Last updated
09/21/2007
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