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NPI Code Detail

MEDICARE: NICOLE MICHELLE PREATE PTA

MEDICARE: NICOLE MICHELLE PREATE 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
1208100000XPhysical Medicine & Rehabilitation PhysicianPTA31269FL

General Provider Information

NPI Number : 1235884214
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MICHELLE PREATE PTA
Provider Business Mailing Address
First Line : 3-2600 KAUMUALII HWY # 1300-110
Second Line :
City : LIHUE
State : HI
Zip : 96766-2040
Country : US
Telephone Number : 786-440-6352
Fax Number :
Provider Business Practice Location Address
First Line : 3143 NE 163RD ST # 201
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33160-4463
Country : US
Telephone Number : 305-949-6461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2022
Last Update Date : 02/27/2023

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Directions to “ NICOLE MICHELLE PREATE PTA” Practice Location

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