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NPI Code Detail

MEDICARE: ACCEL THERAPEUTICS INC

MEDICARE: ACCEL THERAPEUTICS INC
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
1261QP2000XPhysical Therapy Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
165-0-H2-2478-0OTHERMIBCBS PIN

General Provider Information

NPI Number : 1811039860
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACCEL THERAPEUTICS INC
Provider Business Mailing Address
First Line : 10766 BERRY CREEK RD
Second Line :
City : ORLANDO
State : FL
Zip : 32836-5008
Country : US
Telephone Number : 734-239-5724
Fax Number : 215-975-5535
Provider Business Practice Location Address
First Line : 10766 BERRY CREEK RD
Second Line :
City : ORLANDO
State : FL
Zip : 32836-5008
Country : US
Telephone Number : 734-239-5724
Fax Number : 215-975-5535
Authorized Official
Title or Position : OWNER
Name : JIGAR VYAS
Credential :
Telephone Number : 734-239-5724
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/06/2020

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