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NPI Code Detail

MEDICARE: DR. ANTONIO ROBERTO NOGUERAS DPT

MEDICARE: DR. ANTONIO ROBERTO NOGUERAS DPT
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 TherapistPT28091FL

General Provider Information

NPI Number : 1326388968
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTONIO ROBERTO NOGUERAS DPT
Provider Business Mailing Address
First Line : 3901 UNIVERSITY BLVD S
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-4312
Country : US
Telephone Number : 904-424-0253
Fax Number :
Provider Business Practice Location Address
First Line : 7207 GOLDEN WINGS RD
Second Line : SUITE 300
City : JACKSONVILLE
State : FL
Zip : 32244-3324
Country : US
Telephone Number : 904-483-2272
Fax Number : 904-483-2273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2013
Last Update Date : 02/12/2026

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