Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spine Sport & All Facets of Rehab Center Inc

Organization Physical Medicine & Rehabilitation Physician · NPI 1568980621

Spine Sport & All Facets of Rehab Center Inc is a Physical Medicine & Rehabilitation Physician in Casselberry, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

240 Bluestone Pl
Casselberry, FL 32707-4147
Phone: (305) 731-4618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1568980621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soofia Khan — Ao · (305) 731-4618
NPI enumeratedSeptember 8, 2017
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023
Mailing address240 Bluestone Pl, Casselberry, FL 32707-4147

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