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NPI Code Detail

MEDICARE: MR. BRYAN CAGAYAN PT

MEDICARE: MR. BRYAN CAGAYAN PT
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 TherapistPT9863FL

General Provider Information

NPI Number : 1699930644
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRYAN CAGAYAN PT
Provider Business Mailing Address
First Line : 8855 SAN JOSE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4244
Country : US
Telephone Number : 904-962-9417
Fax Number :
Provider Business Practice Location Address
First Line : 8855 SAN JOSE BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-4244
Country : US
Telephone Number : 904-962-9417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2008
Last Update Date : 07/18/2008

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Directions to “ MR. BRYAN CAGAYAN PT” Practice Location

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