Organization
BALANCE AND SPINE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SANDBORN MD (OWNER/PHYSICIAN)
(904) 374-3672
Entity
Organization
Contact information
Practice address
2140 KINGSLEY AVE STE 13, ORANGE PARK, FL 32073-5129
(904) 374-3672
Mailing address
5101 GATE PKWY STE 2, JACKSONVILLE, FL 32256-7276
(904) 374-3672
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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