| Cape Physical Medicine, Llc | |
|
1611 Santa Barbara Blvd Ste 120 Cape Coral FL 33991-3479 | |
| (239) 321-5759 | |
| Not Available |
| Full Name | Cape Physical Medicine, Llc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
| Location | 1611 Santa Barbara Blvd Ste 120, Cape Coral, Florida |
| Authorized Official Name and Position | Keith Burley (OWNER) |
| Authorized Official Contact | 2393215759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Physical Medicine, Llc 1611 Santa Barbara Blvd Ste 120 Cape Coral FL 33991-3479 Ph: (239) 321-5759 | Cape Physical Medicine, Llc 1611 Santa Barbara Blvd Ste 120 Cape Coral FL 33991-3479 Ph: (239) 321-5759 |
| NPI Number | 1821698580 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 07/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821698580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | (* (Not Available)) | Primary |
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