Musculoskeletal Institute Chartered | |
1615 Pasadena Ave S Ste 150 South Pasadena FL 33707-4517 | |
(813) 978-9700 | |
Not Available |
Full Name | Musculoskeletal Institute Chartered |
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Speciality | Clinic/Center |
Location | 1615 Pasadena Ave S Ste 150, South Pasadena, Florida |
Authorized Official Name and Position | Roy W Sanders (PRESIDENT) |
Authorized Official Contact | 8139789700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Musculoskeletal Institute Chartered 13020 N Telecom Pkwy Temple Terrace FL 33637-0915 Ph: (813) 978-9700 | Musculoskeletal Institute Chartered 1615 Pasadena Ave S Ste 150 South Pasadena FL 33707-4517 Ph: (813) 978-9700 |
NPI Number | 1003564378 |
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Provider Enumeration Date | 03/15/2022 |
Last Update Date | 10/04/2022 |
Medicare PECOS PAC ID | 1052224102 |
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Medicare Enrollment ID | O20220804000151 |
Identifier | Type | State | Issuer |
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1003564378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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