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General NPI Number Information
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NPI Number | 1124324363
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Entity Type | Organization
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Legal Business Name | PRIBILA CONSULTING SERVICES INC
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Dates
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Enumeration Date | 02/06/2011
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1826 N CRYSTAL LAKE DR
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City | LAKELAND
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State | FL
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Zip | 33801-5905
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Country | US
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Telephone | 813-876-8771
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Fax |
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Provider Business Mailing Address
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Address Line | 404 MANNS HARBOR DR
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City | APOLLO BEACH
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State | FL
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Zip | 33572-3313
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Country | US
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Telephone | 813-876-8771
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Fax | 813-333-5414
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANTHONY PAUL PRIBILA
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Credential | PT
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Telephone | 863-614-7882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT21113
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License Number State | FL
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