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Organization

PHYSICAL MEDICINE GROUP LLC

Active
Other names
INJURY MIDFLORIDA REHAB
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MLADEN ANTOLIC MD (MEDICAL DIRECTOR)
(407) 420-2199
Entity
Organization

Contact information

Practice address
1339 W COLONIAL DR, ORLANDO, FL 32804
(407) 420-2199
(407) 420-4599
Mailing address
1339 W COLONIAL DR, ORLANDO, FL 32804
(407) 420-2199
(407) 420-4599

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME 49756
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
77164
BCBSFL
FL
Enumeration date
07/03/2007
Last updated
06/21/2018
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