Organization
MUSCULOSKELETAL REHAB OF MOUNT DORA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMAYA CHAH LMT (OWNER)
(352) 383-0004
Entity
Organization
Contact information
Practice address
428 E 5TH AVE, MOUNT DORA, FL 32757-5663
(352) 383-0004
Mailing address
807 WAKEFIELD DR, ALTAMONTE SPRINGS, FL 32701-6219
(352) 383-0004
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MA4338
FL
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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