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NPI Code Detail

MEDICARE: MR. DON KIRBY AMPIG REYES

MEDICARE: MR. DON KIRBY AMPIG REYES
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 Therapist23740FL

General Provider Information

NPI Number : 1710622709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DON KIRBY AMPIG REYES
Provider Business Mailing Address
First Line : 412 NW 25TH AVE
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 315 S FLAGLER DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-5613
Country : US
Telephone Number : 561-655-8544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2022
Last Update Date : 05/03/2022

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Directions to “ MR. DON KIRBY AMPIG REYES ” Practice Location

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