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NPI Code Detail

MEDICARE: BRIAN CHRISTOPHER DUFFY DPT, OCS

MEDICARE: BRIAN CHRISTOPHER DUFFY DPT, OCS
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 Therapist002667WV
2225100000XPhysical TherapistPT013580OH
3225100000XPhysical TherapistPT28047FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00657157OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134318009
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN CHRISTOPHER DUFFY DPT, OCS
Provider Business Mailing Address
First Line : 3657 CORTEZ RD W
Second Line : SUITE 110
City : BRADENTON
State : FL
Zip : 34210-3106
Country : US
Telephone Number : 941-739-7828
Fax Number : 941-739-7838
Provider Business Practice Location Address
First Line : 3657 CORTEZ RD W STE 110
Second Line : SUITE 110
City : BRADENTON
State : FL
Zip : 34210-3171
Country : US
Telephone Number : 941-739-7828
Fax Number : 941-739-7838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2007
Last Update Date : 09/13/2016

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