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NPI Code Detail

MEDICARE: ANGELO LOCASTRO PT

MEDICARE:   ANGELO  LOCASTRO  PT
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 TherapistPT21879FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11780608810OTHERFLNPI #

General Provider Information

NPI Number : 1780608810
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELO LOCASTRO PT
Provider Business Mailing Address
First Line : 220 CONGRESS PARK DR STE 125
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-4664
Country : US
Telephone Number : 561-789-1633
Fax Number : 561-819-6311
Provider Business Practice Location Address
First Line : 220 CONGRESS PARK DR STE 125
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-4664
Country : US
Telephone Number : 561-789-1633
Fax Number : 561-819-6311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 09/14/2010

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Directions to “ ANGELO LOCASTRO PT” Practice Location

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