Ssp Medicine INC

NPI #1528203593 in Deltona, Florida

Provider Information

NPI Number: 1528203593
Entity Type: Organization
Organization Name: Ssp Medicine INC
Primary Specialty: Clinic/Center - Medical Specialty
Enumeration Date: Dec 4, 2008
Last Updated: Dec 10, 2008

Practice Location

Address: 1565 SAXON BLVD
Address 2: SUITE 204
City: Deltona
State: Florida
ZIP Code: 32725-5876
Phone: (386) 742-4343

Authorized Official

Name: DR. ALEX KHROMOV, M.D.
Title: PRESIDENT
Phone: (386) 742-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) — Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X	Primary

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