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NPI Code Detail

MEDICARE: DR. ARIEL A MABOUDI PT, DPT

MEDICARE: DR. ARIEL A MABOUDI PT, 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
1225100000XPhysical Therapist38939FL

General Provider Information

NPI Number : 1730898560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARIEL A MABOUDI PT, DPT
Provider Business Mailing Address
First Line : 11332 WALDEN LOOP
Second Line :
City : PARRISH
State : FL
Zip : 34219-7563
Country : US
Telephone Number : 561-660-1381
Fax Number :
Provider Business Practice Location Address
First Line : 12159 US HIGHWAY 301 N
Second Line :
City : PARRISH
State : FL
Zip : 34219-8678
Country : US
Telephone Number : 941-776-5585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2022
Last Update Date : 11/21/2022

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