Extreme Sports Medicine & Rehabilitation Inc | |
14125 Nw 80th Ave Ste 203, Miami Lakes, FL 33016-2351 | |
(305) 381-5357 | |
(305) 846-9653 |
Full Name | Extreme Sports Medicine & Rehabilitation Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 14125 Nw 80th Ave Ste 203, Miami Lakes, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215377569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Sean A Williams |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134151202 PECOS PAC ID: 6406872928 Enrollment ID: I20051025000726 |
Mailing Address | Practice Location Address |
---|---|
Extreme Sports Medicine & Rehabilitation Inc 4393 Sw 130th Ave, Davie, FL 33330-4730 Ph: (954) 665-7326 | Extreme Sports Medicine & Rehabilitation Inc 14125 Nw 80th Ave Ste 203, Miami Lakes, FL 33016-2351 Ph: (305) 381-5357 |
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