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NPI Code Detail

MEDICARE: BRITTANY AQUART DPT

MEDICARE: BRITTANY AQUART DPT
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
12251P0200XPediatric Physical TherapistPT 29475FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT 29475OTHERFLPROFESSIONAL LICENSE

General Provider Information

NPI Number : 1821406935
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY AQUART DPT
Provider Business Mailing Address
First Line : 2727 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-4406
Country : US
Telephone Number : 305-622-7575
Fax Number : 305-622-9464
Provider Business Practice Location Address
First Line : 2727 NW 167TH ST
Second Line :
City : MIAMI GARDENS
State : FL
Zip : 33056-4406
Country : US
Telephone Number : 305-622-7575
Fax Number : 305-622-9464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2014
Last Update Date : 08/01/2014

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