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NPI Code Detail

MEDICARE: JOSE MANUEL AGUIRRE

MEDICARE: JOSE MANUEL AGUIRRE
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 TherapistPT33080FL

General Provider Information

NPI Number : 1841821782
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE MANUEL AGUIRRE
Provider Business Mailing Address
First Line : 1735 N TREASURE DR
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-4216
Country : US
Telephone Number : 305-865-2383
Fax Number :
Provider Business Practice Location Address
First Line : 1735 N TREASURE DR
Second Line :
City : NORTH BAY VILLAGE
State : FL
Zip : 33141-4216
Country : US
Telephone Number : 305-865-2383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2020
Last Update Date : 02/07/2020

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Directions to “ JOSE MANUEL AGUIRRE ” Practice Location

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