| |
171 Us Highway 98, Suite H, Eastpoint, FL 32328-3313 | |
(850) 670-4650 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 171 Us Highway 98, Eastpoint, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275663429 | NPI | - | NPPES |
883224207 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 13269, Tallahassee, FL 32317-3269 Ph: () - | 171 Us Highway 98, Suite H, Eastpoint, FL 32328-3313 Ph: (850) 670-4650 |