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13577 Nw 2nd Ln, Suite 1, Newberry, FL 32669 | |
(352) 353-0288 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 13577 Nw 2nd Ln, Newberry, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952889206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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171100000X | Acupuncturist | AP3943 (Florida) | Secondary |
225100000X | Physical Therapist | PT26628 (Florida) | Primary |
Provider Name | Weiwei Guan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437551512 PECOS PAC ID: 1759627235 Enrollment ID: I20190226002624 |
Mailing Address | Practice Location Address |
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7795 Sw 79th Dr, Gainesville, FL 32608-9493 Ph: (813) 748-2384 | 13577 Nw 2nd Ln, Suite 1, Newberry, FL 32669 Ph: (352) 353-0288 |