Organization
ATLANTIC SPORTCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE J HLIS PT (PRESIDENT)
(305) 395-0463
Entity
Organization
Contact information
Practice address
100210 OVERSEAS HWY, SUITE 2, KEY LARGO, FL 33037-2526
(305) 453-1152
Mailing address
106 NAUTILUS DR, ISLAMORADA, FL 33036-4207
(305) 395-0463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5979
FL
Other
Enumeration date
07/17/2006
Last updated
11/29/2010
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