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Organization

TALLAHASSEE MEDICAL REHAB INC

Active
Parent organization
TALLAHASSEE MEDICAL REHAB INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
TALLAHASSEE MEDICAL REHAB INC
Authorized official
JAMUNA SIVAKANTHAN M.D. (PRESIDENT)
(850) 656-4800
Entity
Organization

Contact information

Practice address
5222 PIPER LANE, SANFORD, FL 32771
(321) 363-4409
(321) 363-4781
Mailing address
5222 PIPER LANE, SANFORD, FL 32771
(321) 363-4409
(321) 363-4781

Taxonomy

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

Other

Enumeration date
06/21/2011
Last updated
02/08/2018
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