Organization
BROOKSVILLE REHAB 2000 INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMADELDIN A MOHAMED MSPT (OWNER/PRESIDENT)
(352) 592-1114
Entity
Organization
Contact information
Practice address
11463 CORTEZ BLVD, BROOKSVILLE, FL 34613-7367
(352) 592-1114
(352) 592-1190
Mailing address
11463 CORTEZ BLVD, BROOKSVILLE, FL 34613-7367
(352) 592-1114
(352) 592-1190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10388
FL
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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