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General NPI Number Information
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NPI Number | 1982589974
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Entity Type | Organization
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Legal Business Name | CO PHYSIO, LLC
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10358 RIVERSIDE DR STE 140
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4203
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Country | US
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Telephone | 904-735-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 326 JUPITER LAKES BLVD APT 2308B
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City | JUPITER
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State | FL
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Zip | 33458-7168
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Country | US
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Telephone | 904-735-8100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPHER C ONEAL
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Credential | DPT
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Telephone | 904-735-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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