Organization
FLORIDA INJURY AND REHAB
Active
Other names
Live and Look Good Wellness and Weight Loss Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAUWD BASIYR MEDAN PA-C (PHYSICIAN ASSISTANT)
(407) 518-7700
Entity
Organization
Contact information
Practice address
1520 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3219
(407) 518-7700
Mailing address
1520 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3219
(407) 518-7700
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
ME69749
FL
261QR0400X
Rehabilitation Clinic/Center
Primary
ME69749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28914
BLUE CROSS PROVIDER #
FL
Enumeration date
01/18/2007
Last updated
09/11/2025
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