Healthcare Provider Details

I. General information

NPI: 1730134214
Provider Name (Legal Business Name): STARR SPORTS REHABILITATION AND PHYSICAL THERAPY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 10/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14265 POWELL ROAD
SPRING HILL FL
34606-8280
US

IV. Provider business mailing address

14265 POWELL ROAD
SPRING HILL FL
34606-8280
US

V. Phone/Fax

Practice location:
  • Phone: 352-799-9329
  • Fax:
Mailing address:
  • Phone: 352-799-9329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STACEY GARCIA
Title or Position: OWNER
Credential: PHYSICAL THERAPIST
Phone: 352-799-9329