Organization
SUSTAINABLE REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCA ALEXANDER MD (OWNER)
(775) 343-9322
Entity
Organization
Contact information
Practice address
17 LAKESIDE PL W, PALM COAST, FL 32137-3415
(775) 343-9322
Mailing address
17 LAKESIDE PL W, PALM COAST, FL 32137-3415
(775) 343-9322
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/20/2024
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