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General NPI Number Information
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NPI Number | 1356747315
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Entity Type | Organization
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Legal Business Name | BAYLIFE PHYSICAL THERAPY & REHABILITATION, INC.
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Dates
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Enumeration Date | 11/18/2014
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Last Update Date | 11/18/2014
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Provider Practice Location Address
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Address Line | 9021 OAKHURST RD SUITE A & B
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City | SEMINOLE
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State | FL
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Zip | 33776-2156
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Country | US
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Telephone | 727-520-0800
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Fax |
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Provider Business Mailing Address
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Address Line | 8950 DR MARTIN LUTHER KING JR ST N SUITE 101
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City | ST PETERSBURG
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State | FL
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Zip | 33702-3001
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Country | US
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Telephone | 727-520-0800
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Fax | 727-520-0313
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | FLOYD MORGAN
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Credential | R.P.T.
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Telephone | 727-520-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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