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NPI Code Detail

MEDICARE: EUGINA STOKES PTA

MEDICARE: EUGINA STOKES PTA
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
1225200000XPhysical Therapy Assistant23070FL

General Provider Information

NPI Number : 1902388606
Entity Type Code : Individual
Provider Name (Legal Business Name) : EUGINA STOKES PTA
Provider Business Mailing Address
First Line : 8935 WOODLEAF BLVD
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33544-2672
Country : US
Telephone Number : 813-509-1612
Fax Number :
Provider Business Practice Location Address
First Line : 37135 COLEMAN AVE
Second Line :
City : DADE CITY
State : FL
Zip : 33525-4526
Country : US
Telephone Number : 352-567-8615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2018
Last Update Date : 08/30/2018

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Directions to “ EUGINA STOKES PTA” Practice Location

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