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General NPI Number Information
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NPI Number | 1437267143
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY CENTERS OF SOUTH FLORIDA, INC,
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6620 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-1518
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Country | US
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Telephone | 561-967-1022
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Fax | 561-967-9399
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Provider Business Mailing Address
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Address Line | 6620 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-1518
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Country | US
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Telephone | 561-967-1022
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Fax | 561-967-9399
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. DAVID LIVINGSTON
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Credential | D.C.
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Telephone | 561-967-1022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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