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NPI Code Detail

MEDICARE: MARIPI DOLLY PARGUIAN P.T.

MEDICARE: MARIPI DOLLY PARGUIAN P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist19958FL

General Provider Information

NPI Number : 1134328552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIPI DOLLY PARGUIAN P.T.
Provider Business Mailing Address
First Line : 1640 BROOKSHIRE CIR
Second Line :
City : MELBOURNE
State : FL
Zip : 32904-6666
Country : US
Telephone Number : 321-327-8179
Fax Number :
Provider Business Practice Location Address
First Line : 1091 PORT MALABAR BLVD NE
Second Line : SUITE 2
City : PALM BAY
State : FL
Zip : 32905-5100
Country : US
Telephone Number : 321-725-2405
Fax Number : 321-725-2406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 04/14/2010

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Directions to “ MARIPI DOLLY PARGUIAN P.T.” Practice Location

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