Organization
TIDELINE SPORTS PERFORMANCE & REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCLAFANI DPT (OWNER)
(941) 218-0551
Entity
Organization
Contact information
Practice address
5320 LENA RD UNIT 114, BRADENTON, FL 34211-9438
(513) 460-8005
Mailing address
5320 LENA RD UNIT 114, BRADENTON, FL 34211-9438
(513) 460-8005
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
05/25/2021
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