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Organization

SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC.

Active
Parent organization
SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC
Other names
Spinal Health Integrative Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPINAL HEALTH AND REHAB OF PUNTA GORDA, INC
Authorized official
KEVIN VAN NOSTRAND D.C. (OWNER/OPERATOR)
(941) 258-1965
Entity
Organization

Contact information

Practice address
324 CROSS ST, PUNTA GORDA, FL 33950-4828
(941) 205-2180
(941) 205-2181
Mailing address
324 CROSS ST, PUNTA GORDA, FL 33950-4828
(941) 205-2180
(941) 205-2181

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME 102997
FL
225100000X
Physical Therapist
PT 18108
FL

Other

Enumeration date
06/09/2014
Last updated
06/09/2014
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