NPI | 1306359617 |
---|---|
Doing Business As | COMPLETE PHYSICAL MEDICINE, LLC |
Entity Type | Organization |
Authorized Contact | JAMES BOLGER Owner 239-908-0899 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: FL ch11936) |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2017-11-08 |
Last Update Date | 2017-12-13 |