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NPI Code Detail

MEDICARE: LIONEL T BRIONES

MEDICARE: LIONEL T BRIONES
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 TherapistPT20260FL

General Provider Information

NPI Number : 1659543627
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIONEL T BRIONES
Provider Business Mailing Address
First Line : 1321 HERBERT ST
Second Line :
City : PORT ORANGE
State : FL
Zip : 32129-4135
Country : US
Telephone Number : 386-763-9800
Fax Number : 386-763-0828
Provider Business Practice Location Address
First Line : 1321 HERBERT ST
Second Line :
City : PORT ORANGE
State : FL
Zip : 32129-4135
Country : US
Telephone Number : 386-763-9800
Fax Number : 386-763-0828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2008
Last Update Date : 03/29/2008

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Directions to “ LIONEL T BRIONES ” Practice Location

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