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General NPI Number Information
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NPI Number | 1669985701
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Entity Type | Individual
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Provider Name | FELIPE CARBONELL PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/12/2017
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Last Update Date | 05/25/2020
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Provider Practice Location Address
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Address Line | 8331 LOCKWOOD RIDGE RD
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City | SARASOTA
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State | FL
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Zip | 34243-2930
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Country | US
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Telephone | 941-355-5565
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Fax | 941-355-3933
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Provider Business Mailing Address
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Address Line | 105 POMPANO DR SE APT D
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City | ST PETERSBURG
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State | FL
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Zip | 33705-4076
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 33203
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License Number State | FL
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