| |
807 S Parsons Ave, Brandon, FL 33511-6063 | |
(813) 684-8041 | |
(813) 689-1140 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 807 S Parsons Ave, Brandon, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609127067 | NPI | - | NPPES |
003S2 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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807 S Parsons Ave, Brandon, FL 33511-6063 Ph: (813) 684-8041 | 807 S Parsons Ave, Brandon, FL 33511-6063 Ph: (813) 684-8041 |