Organization
KINESA REHAB GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA A MERRITT M.D. (MEDICAL DIRECTOR)
(941) 356-0980
Entity
Organization
Contact information
Practice address
3277 FRUITVILLE RD, SUITE C-1, SARASOTA, FL 34237-6410
(941) 906-9484
(941) 906-1099
Mailing address
PO BOX 51779, SARASOTA, FL 34232-0314
(941) 356-0980
(941) 906-1099
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME97603
FL
Other
Enumeration date
06/11/2008
Last updated
12/22/2010
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