Organization
TOP TIER SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE L COLEMAN (ADMINISTRATOR)
(321) 431-6805
Entity
Organization
Contact information
Practice address
6300 N WICKHAM RD, SUITE 133B, MELBOURNE, FL 32940-2028
(321) 431-6805
Mailing address
6300 N WICKHAM RD, SUITE 133B, MELBOURNE, FL 32940-2028
(321) 431-6805
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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