Organization
SPORTS SPINE OCCUPATIONAL REHABILITATION INC
Active
Organization
SPORTS SPINE OCCUPATIONAL REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN TARRASH MD (OWNER)
(561) 852-8636
Entity
Organization
Contact information
Practice address
7015 BERACASA WAY STE 102, BOCA RATON, FL 33433-3453
(561) 295-3900
(561) 431-8288
Mailing address
10637 MENDOCINO LN, BOCA RATON, FL 33428-1229
(561) 852-8636
(561) 852-8672
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/04/2007
Last updated
10/22/2024
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