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NPI Code Detail

MEDICARE: LINA DOVILAS

MEDICARE:   LINA  DOVILAS
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 Therapist29804FL

General Provider Information

NPI Number : 1316336373
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINA DOVILAS
Provider Business Mailing Address
First Line : 3827 NORTHGREEN AVE APT 210
Second Line :
City : TAMPA
State : FL
Zip : 33624-3089
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3827 NORTHGREEN AVE APT 210
Second Line :
City : TAMPA
State : FL
Zip : 33624-3089
Country : US
Telephone Number : 630-805-4032
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2015
Last Update Date : 01/14/2015

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Directions to “ LINA DOVILAS ” Practice Location

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