Organization
SUN RISE REHABILITATION
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NED KEITH BURRELL PT (OWNER)
(941) 331-1497
Entity
Organization
Contact information
Practice address
1332 N POMPANO AVE, SARASOTA, FL 34237-3733
(941) 331-1497
Mailing address
1332 N POMPANO AVE, SARASOTA, FL 34237-3733
(941) 331-1497
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
PTA19755
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U4860A
SUPPLIER NUMBER FOR PHYSICAL THERAPY MEDICARE GROUP PART B
FL
Enumeration date
06/25/2008
Last updated
06/25/2008
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