Organization
SM PHYSIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIOBAN MCDERMOTT MD (OWNER)
(321) 368-0292
Entity
Organization
Contact information
Practice address
101 E FLORIDA AVE, MELBOURNE, FL 32901-8301
(321) 984-4600
Mailing address
1345 N HIGHWAY A1A APT 610, INDIALANTIC, FL 32903-2765
(321) 368-0292
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
05/13/2024
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