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General NPI Number Information
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NPI Number | 1780960344
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Entity Type | Organization
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Legal Business Name | FERNANDO PHYSICAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 02/25/2019
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Provider Practice Location Address
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Address Line | 421 SE OSCEOLA ST SUITE C
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City | STUART
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State | FL
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Zip | 34994-2505
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Country | US
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Telephone | 772-223-4563
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Fax | 772-223-4567
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Provider Business Mailing Address
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Address Line | 421 SE OSCEOLA ST SUITE C
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City | STUART
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State | FL
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Zip | 34994-2505
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Country | US
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Telephone | 772-223-4563
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Fax | 772-223-4567
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Authorized Official
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Title or Position | PRESIDENT
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Name | FERNANDO FIGUEROA
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Credential | PT, DPT, PH.D., MDT
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Telephone | 772-223-4563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT6978
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PT6978
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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