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NPI Code Detail

MEDICARE: THOMAS JAMES CINQUE D.P.T.

MEDICARE:   THOMAS JAMES CINQUE  D.P.T.
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 TherapistPT28675FL

Other Identifiers

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

General Provider Information

NPI Number : 1295044022
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS JAMES CINQUE D.P.T.
Provider Business Mailing Address
First Line : 4971 LE CHALET BLVD STE 100
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33436-1418
Country : US
Telephone Number : 561-537-4526
Fax Number :
Provider Business Practice Location Address
First Line : 600 N US HIGHWAY 1 UNIT 606A
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-3072
Country : US
Telephone Number : 772-276-7286
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2010
Last Update Date : 08/02/2023

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