Provider Demographics
NPI:1376202606
Name:CAPE PHYSICAL MEDICINE CENTER, LLC
Entity Type:Organization
Organization Name:CAPE PHYSICAL MEDICINE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:STERBAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-321-5759
Mailing Address - Street 1:1611 SANTA BARBARA BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-3479
Mailing Address - Country:US
Mailing Address - Phone:239-321-5759
Mailing Address - Fax:
Practice Address - Street 1:1611 SANTA BARBARA BLVD STE 120
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-3479
Practice Address - Country:US
Practice Address - Phone:239-321-5759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Multi-Specialty