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NPI Code Detail

MEDICARE: JOSE FRANCISCO SAGASTUME DPT

MEDICARE: JOSE FRANCISCO SAGASTUME 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
1208100000XPhysical Medicine & Rehabilitation PhysicianPT34737FL

General Provider Information

NPI Number : 1407402464
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE FRANCISCO SAGASTUME DPT
Provider Business Mailing Address
First Line : 4281 BELLASOL CIR APT 2324
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-7359
Country : US
Telephone Number : 239-244-5638
Fax Number :
Provider Business Practice Location Address
First Line : 1402 SE 16TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-3819
Country : US
Telephone Number : 239-772-2363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2019
Last Update Date : 08/15/2019

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Directions to “ JOSE FRANCISCO SAGASTUME DPT” Practice Location

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