Organization
INTEGRATIVE REHAB MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBASTIAN KLISIEWICZ DO (OWNER)
(773) 895-0708
Entity
Organization
Contact information
Practice address
9351 CORKSCREW RD STE 103, ESTERO, FL 33928-6801
(239) 687-3199
Mailing address
9351 CORKSCREW RD STE 103, ESTERO, FL 33928-6801
(239) 687-3199
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS12803
DO
FL
Enumeration date
06/17/2019
Last updated
12/08/2025
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