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NPI Code Detail

MEDICARE: MR. SOCRATES DUARTE NAVOTAS

MEDICARE:  MR. SOCRATES DUARTE NAVOTAS
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 TherapistPT24037FL

General Provider Information

NPI Number : 1497982458
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SOCRATES DUARTE NAVOTAS
Provider Business Mailing Address
First Line : 2 RANBAY PL
Second Line :
City : PALM COAST
State : FL
Zip : 32164-6823
Country : US
Telephone Number : 207-660-7063
Fax Number :
Provider Business Practice Location Address
First Line : 2 RANBAY PL
Second Line :
City : PALM COAST
State : FL
Zip : 32164-6823
Country : US
Telephone Number : 207-660-7063
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2009
Last Update Date : 06/17/2009

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Directions to “ MR. SOCRATES DUARTE NAVOTAS ” Practice Location

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