Organization
SPEECH & NEUROREHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIP LANDS (CFO)
(850) 484-9292
Entity
Organization
Contact information
Practice address
1108 A AIRPORT BLVD, PENSACOLA, FL 32504
(850) 484-9292
(850) 484-9525
Mailing address
1108 A AIRPORT BLVD, PENSACOLA, FL 32504
(850) 484-9292
(850) 484-9525
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
880361700
—
FL
Enumeration date
12/05/2006
Last updated
06/03/2008
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