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NPI Code Detail

MEDICARE: MR. BRIAN KEITH AURICH MSPT

MEDICARE: MR. BRIAN KEITH AURICH MSPT
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 TherapistPT20533FL

General Provider Information

NPI Number : 1821132135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRIAN KEITH AURICH MSPT
Provider Business Mailing Address
First Line : 1916 SOURWOOD BLVD
Second Line :
City : DUNEDIN
State : FL
Zip : 34698-2950
Country : US
Telephone Number : 727-733-9365
Fax Number :
Provider Business Practice Location Address
First Line : 4705 ALT 19
Second Line : SUITE A
City : PALM HARBOR
State : FL
Zip : 34683-1424
Country : US
Telephone Number : 727-781-3550
Fax Number : 727-781-3450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 04/07/2011

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