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NPI Code Detail

MEDICARE: JORGE GIRAL DPT, SCS, COMT, CSCS

MEDICARE: JORGE GIRAL DPT, SCS, COMT, CSCS
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 TherapistPT 22781FL

General Provider Information

NPI Number : 1174954846
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE GIRAL DPT, SCS, COMT, CSCS
Provider Business Mailing Address
First Line : PO BOX 22076
Second Line :
City : NEW YORK
State : NY
Zip : 10087-2076
Country : US
Telephone Number : 561-657-4600
Fax Number :
Provider Business Practice Location Address
First Line : 300 PALM BEACH LAKES BLVD.
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-2711
Country : US
Telephone Number : 561-657-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2013
Last Update Date : 04/11/2021

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