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General NPI Number Information
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NPI Number | 1912838145
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Entity Type | Organization
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Legal Business Name | TRUE SPORTS PERFORMANCE & REHAB SPECIALIST
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Dates
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Enumeration Date | 05/27/2026
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Last Update Date | 05/27/2026
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Provider Practice Location Address
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Address Line | 12940 W STATE ROAD 84
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City | DAVIE
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State | FL
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Zip | 33325-3306
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Country | US
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Telephone | 954-546-0178
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Fax |
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Provider Business Mailing Address
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Address Line | 3414 W 110TH TER
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City | HIALEAH
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State | FL
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Zip | 33018-2180
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Country | US
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Telephone | 786-583-8591
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESSE MARTIR
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Credential | PTA
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Telephone | 786-583-8591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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