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General NPI Number Information
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NPI Number | 1427556893
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Entity Type | Organization
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Legal Business Name | FLORIDA ORTHOPEDIC AND BALANCE PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 06/03/2019
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Provider Practice Location Address
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Address Line | 9850 STIRLING RD STE 100
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City | HOLLYWOOD
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State | FL
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Zip | 33024-8068
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Country | US
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Telephone | 954-706-1192
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Fax |
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Provider Business Mailing Address
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Address Line | 5837 NW 56TH DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3542
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Country | US
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Telephone | 954-736-7427
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. UCHA CHIOMA UKPAI
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Credential | PT, DPT, OCS, CMPT
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Telephone | 954-706-1192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT28979
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License Number State | FL
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