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General NPI Number Information
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NPI Number | 1548659493
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY GROUP OF FLORIDA, LLC
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 2800 E COMMERCIAL BLVD SUITE # 209
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4229
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Country | US
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Telephone | 954-491-2021
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Fax | 954-622-9791
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Provider Business Mailing Address
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Address Line | 2800 E COMMERCIAL BLVD SUITE # 209
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4229
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Country | US
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Telephone | 954-491-2021
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Fax | 954-622-9791
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | DR. RICHARD D SERIANNI
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Credential | DPT
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Telephone | 954-491-2021
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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 |
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License Number State | FL
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