Organization
SPINE SPORTS AND REHABILITATION SPECIALISTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAM RIEGEL (OWNER)
(941) 923-0999
Entity
Organization
Contact information
Practice address
4000 SAWYER RD, SARASOTA, FL 34233-1272
(941) 923-0999
(941) 923-0090
Mailing address
4000 SAWYER RD, SARASOTA, FL 34233-1272
(941) 923-0999
(941) 923-0090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 0066774
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6337970001
NATIONAL SUPPLIER CLEARINGHOUSE
FL
Enumeration date
07/25/2007
Last updated
04/16/2010
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