Powerback Rehabilitation Llc | |
9700 Pensacola Blvd Pensacola FL 32534-1242 | |
(800) 728-8808 | |
Not Available |
Full Name | Powerback Rehabilitation Llc |
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Speciality | Clinic/Center |
Location | 9700 Pensacola Blvd, Pensacola, Florida |
Authorized Official Name and Position | Carl Anthony Shrom (CEO) |
Authorized Official Contact | 2158960422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Powerback Rehabilitation Llc 101 E State St Kennett Square PA 19348-3109 Ph: (800) 728-8808 | Powerback Rehabilitation Llc 9700 Pensacola Blvd Pensacola FL 32534-1242 Ph: (800) 728-8808 |
NPI Number | 1295306116 |
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Provider Enumeration Date | 07/02/2021 |
Last Update Date | 02/11/2025 |
Medicare PECOS PAC ID | 2365359932 |
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Medicare Enrollment ID | O20230613000115 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295306116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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