| Pure Rehabilitation South, Llc | |
|
18650 Gulf Blvd Unit 414 Indian Shores FL 33785-2080 | |
| (712) 542-0123 | |
| (712) 850-1349 |
| Full Name | Pure Rehabilitation South, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 18650 Gulf Blvd Unit 414, Indian Shores, Florida |
| Authorized Official Name and Position | Misty Ann Haffner-szynskie (ADMIN) |
| Authorized Official Contact | 7125420123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Rehabilitation South, Llc 18650 Gulf Blvd Unit 414 Indian Shores FL 33785-2080 Ph: (712) 542-0123 | Pure Rehabilitation South, Llc 18650 Gulf Blvd Unit 414 Indian Shores FL 33785-2080 Ph: (712) 542-0123 |
| NPI Number | 1124772553 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124772553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |