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NPI Code Detail

MEDICARE: JAYE SADLER RPT

MEDICARE: JAYE SADLER RPT
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
12251X0800XOrthopedic Physical TherapistPT13885FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y911KOTHERFLBC/BS

General Provider Information

NPI Number : 1902058688
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAYE SADLER RPT
Provider Business Mailing Address
First Line : 17751 MURDOCK CIR
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33948-1034
Country : US
Telephone Number : 941-743-8700
Fax Number : 941-743-8850
Provider Business Practice Location Address
First Line : 17751 MURDOCK CIR
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33948-1034
Country : US
Telephone Number : 941-743-8700
Fax Number : 941-743-8850
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2008
Last Update Date : 10/14/2008

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