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NPI Code Detail

MEDICARE: BRIGITTE FLOYD PTA

MEDICARE: BRIGITTE FLOYD PTA
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
1225200000XPhysical Therapy Assistant28960FL

General Provider Information

NPI Number : 1134688559
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIGITTE FLOYD PTA
Provider Business Mailing Address
First Line : 1101 SAINT ANNE SHRINE RD
Second Line :
City : LAKE WALES
State : FL
Zip : 33898-6312
Country : US
Telephone Number : 863-797-5841
Fax Number :
Provider Business Practice Location Address
First Line : 1010 US HIGHWAY 27 N
Second Line :
City : AVON PARK
State : FL
Zip : 33825-2556
Country : US
Telephone Number : 863-453-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2019
Last Update Date : 03/15/2019

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Directions to “ BRIGITTE FLOYD PTA” Practice Location

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