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Organization

RESTORE BRAIN SPORT AND SPINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS REILLY MD (CEO)
(516) 680-8080
Entity
Organization

Contact information

Practice address
11603 SHELDON ROAD, TAMPA, FL 33626
(516) 680-8080
Mailing address
11603 SHELDON RD, TAMPA, FL 33626-4306
(727) 935-4142

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
09/03/2024
Last updated
03/25/2025
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