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NPI Code Detail

MEDICARE: DG REHAB AND ENTERTAINMENT, INC.

MEDICARE: DG REHAB AND ENTERTAINMENT, INC.
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 TherapistPT17899FL

General Provider Information

NPI Number : 1346509122
Entity Type Code : Organization
Provider Name (Legal Business Name) : DG REHAB AND ENTERTAINMENT, INC.
Provider Business Mailing Address
First Line : 3230 COUNTY ROAD 1
Second Line :
City : DUNEDIN
State : FL
Zip : 34698-9208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3012 STARKEY BLVD
Second Line :
City : TRINITY
State : FL
Zip : 34655-2175
Country : US
Telephone Number : 727-254-6455
Fax Number :
Authorized Official
Title or Position : PHYSICAL THERAPIST
Name : MR. JOSEPH GIGIOVANNA
Credential : PT
Telephone Number : 727-254-6455
Provider Enumeration Date : 05/14/2012
Last Update Date : 07/25/2012

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Directions to “DG REHAB AND ENTERTAINMENT, INC. ” Practice Location

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