| |
1965 42nd Ave, Ste #2, Vero Beach, FL 32960 | |
(772) 999-3129 | |
(772) 564-0380 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center |
Location | 1965 42nd Ave, Vero Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235180118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT20461 (Florida) | Secondary |
261Q00000X | Clinic/center | (Florida) | Primary |
Mailing Address | Practice Location Address |
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1965 42nd Ave, Ste. #2, Vero Beach, FL 32960 Ph: (772) 999-3129 | 1965 42nd Ave, Ste #2, Vero Beach, FL 32960 Ph: (772) 999-3129 |