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Organization

ACTION MEDICAL AND REHAB PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD TANZA (CEO)
(904) 654-2410
Entity
Organization

Contact information

Practice address
3400 NESCONSET HWY STE 104, EAST SETAUKET, NY 11733-3327
(316) 898-6626
Mailing address
665 TREEHOUSE CIR, SAINT AUGUSTINE, FL 32095-6837
(904) 654-2410

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Enumeration date
06/13/2018
Last updated
06/13/2018
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