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1679610398 NPI number — REGIS C ALMEIDA P.T.

NPI Number: 1679610398
Health Care Provider/Practitioner: REGIS C ALMEIDA P.T.

Information about “1679610398” NPI (REGIS C ALMEIDA P.T.) exists in 1679610398 in HTML format HTML  |  1679610398 in plain Text format TXT  |  1679610398 in PDF (Portable Document Format) PDF  |  1679610398 in an XML format XML  formats.

NPI Number : 1679610398 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679610398",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALMEIDA",
    "FirstName": "REGIS",
    "MiddleName": "C",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12725 COOL WATER WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32246-5139",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-434-0042",
    "MailingAddressFaxNumber": "904-459-7240",
    "FirstLinePracticeLocationAddress": "3901 UNIVERSITY BLVD S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32216-4312",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-458-7200",
    "PracticeLocationAddressFaxNumber": "904-458-7240",
    "EnumerationDate": "01/31/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "12848",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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