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Organization

EXCEL SPORTS AND REHABILITATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAY WRIGHT (OWNER)
(813) 957-6625
Entity
Organization

Contact information

Practice address
917 S PARSONS AVE, BRANDON, FL 33511-6008
(813) 957-6625
(813) 319-3785
Mailing address
23110 STATE ROAD 54, 183, LUTZ, FL 33549-6933
(813) 319-3785

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/13/2007
Last updated
04/22/2008
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