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Organization

ELITE REHABILITATION AND PAIN MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE WEBB DO (OWNER)
(914) 924-1494
Entity
Organization

Contact information

Practice address
901 CLEARWATER LARGO RD N, LARGO, FL 33770-4126
(727) 586-2999
Mailing address
1029 ROUNDSTONE PL, PALM HARBOR, FL 34683-1462

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OS14566
FL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS14566
FL
261QR0400X
Rehabilitation Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R25Y9
BLUE CROSS
FL
Enumeration date
07/31/2017
Last updated
01/24/2018
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