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Organization

SYPERT INSTITUTE PA

Active
Parent organization
SYPERT INSTITUTE PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
SYPERT INSTITUTE PA
Authorized official
MR. ROBERT OGRADY (VICE PRESIDENT)
(239) 432-0774
Entity
Organization

Contact information

Practice address
26800 TAMIAMI TRAIL SOUTH, SUITE 340, BONITA SPRINGS, FL 34134-4349
(239) 498-1204
(239) 498-1350
Mailing address
632 DEL PRADO BLVD N, CAPE CORAL, FL 33909-2253
(239) 772-5577
(239) 772-9961

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
379209900
FL
Enumeration date
09/13/2007
Last updated
09/28/2011
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