Organization
KNEE REJUVENATION GROUP OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KRAUSE (OWNER)
(850) 979-5633
Entity
Organization
Contact information
Practice address
2114 AIRPORT BLVD STE 1500, PENSACOLA, FL 32504-5910
(850) 979-5633
Mailing address
2114 AIRPORT BLVD STE 1500, PENSACOLA, FL 32504-5910
(850) 979-5633
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/30/2022
Last updated
05/08/2023
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