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Organization

PREVENTATIVE MEDICAL & REHAB, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CONNIE JO AZIROVIC (DIRECTOR/VICE PRESIDENT)
(727) 992-1696
Entity
Organization

Contact information

Practice address
4900 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-4251
(727) 992-1696
(727) 846-9906
Mailing address
4900 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-4251
(727) 992-1696
(727) 846-9906

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary

Other

Enumeration date
05/26/2006
Last updated
08/22/2020
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