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NPI Code Detail

MEDICARE: MR. NELSON RANGEL MSPT, CMT

MEDICARE:  MR. NELSON  RANGEL  MSPT, CMT
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 Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT21343OTHERFLLICENSE #

General Provider Information

NPI Number : 1114037843
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NELSON RANGEL MSPT, CMT
Provider Business Mailing Address
First Line : 12301 SW 39TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33175-3030
Country : US
Telephone Number : 305-508-8114
Fax Number : 305-226-5648
Provider Business Practice Location Address
First Line : 12301 SW 39TH TER
Second Line :
City : MIAMI
State : FL
Zip : 33175-3030
Country : US
Telephone Number : 305-508-8114
Fax Number : 305-226-5648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 01/21/2011

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Directions to “ MR. NELSON RANGEL MSPT, CMT” Practice Location

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