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SOUTHERN SPINAL REHAB LLC NPI 1396994133


NPI Information

NPI: 1396994133
Provider Name: SOUTHERN SPINAL REHAB, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
91 W HOOD DR
PENSACOLA, FL
ZIP 32534
Phone: (850) 475-4227
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SOUTHERN SPINAL REHAB, LLC is a chiropractor in Pensacola, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. SOUTHERN SPINAL REHAB, LLC NPI is 1396994133. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

91 W HOOD DR
PENSACOLA, FL
ZIP 32534-019
Phone: (850) 475-4227
Fax: (850) 475-8200

The provider's authorized official is Stephen B Haas .
The authorized official title is President / Owner and has the following contact phone number (850) 475-4227.

The enumeration date for this NPI number is 9/17/2008 and was last updated on 3/17/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorNo
2225100000XPhysical TherapistNo
3111N00000XChiropractor6329FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
155537MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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