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NPI Code Detail

MEDICARE: PABLO STINSON PT

MEDICARE:   PABLO  STINSON  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT20431FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023113982
Entity Type Code : Individual
Provider Name (Legal Business Name) : PABLO STINSON PT
Provider Business Mailing Address
First Line : 250 NW 65TH TER
Second Line :
City : PLANTATION
State : FL
Zip : 33317-2480
Country : US
Telephone Number : 954-547-4697
Fax Number :
Provider Business Practice Location Address
First Line : 9699 W SAMPLE RD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-4001
Country : US
Telephone Number : 954-344-7771
Fax Number : 954-344-6475
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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