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NPI Code Detail

MEDICARE: FLORIDA PHYSICAL MEDICINE LLC

MEDICARE: FLORIDA PHYSICAL MEDICINE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH7815FL
22081S0010XSports Medicine (Physical Medicine & Rehabilitation) PhysicianOS 8925FL
3111N00000XChiropractorCH9310FL

General Provider Information

NPI Number : 1174622880
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA PHYSICAL MEDICINE LLC
Provider Business Mailing Address
First Line : 2200 W BAY DR
Second Line :
City : LARGO
State : FL
Zip : 33770-1929
Country : US
Telephone Number : 727-518-2977
Fax Number :
Provider Business Practice Location Address
First Line : 2200 W BAY DR
Second Line :
City : LARGO
State : FL
Zip : 33770-1929
Country : US
Telephone Number : 727-518-2977
Fax Number :
Authorized Official
Title or Position : ADM.
Name : TONJE STEVENS
Credential :
Telephone Number : 727-518-2977
Provider Enumeration Date : 09/21/2006
Last Update Date : 09/11/2025

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Directions to “FLORIDA PHYSICAL MEDICINE LLC ” Practice Location

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