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NPI Code Detail

MEDICARE: BEVERLY FYFFE

MEDICARE: BEVERLY FYFFE
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 Therapist3086FL

General Provider Information

NPI Number : 1437640836
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY FYFFE
Provider Business Mailing Address
First Line : 5005 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2175
Country : US
Telephone Number : 863-382-8686
Fax Number : 863-471-2976
Provider Business Practice Location Address
First Line : 5005 SUN N LAKE BLVD
Second Line :
City : SEBRING
State : FL
Zip : 33872-2175
Country : US
Telephone Number : 863-382-8686
Fax Number : 863-471-2976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 05/22/2018

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Directions to “ BEVERLY FYFFE ” Practice Location

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