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Organization
OCEAN ONE ENTERPRISES
Active
Organization
OCEAN ONE ENTERPRISES
Active
Other names
VARSITY REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E CARN PT (OWNER OPERATOR)
(386) 677-4300
Entity
Organization
Contact information
Practice address
1714 STATE ROAD 44, NEW SMYRNA BEACH, FL 32168-8339
(386) 677-4300
(386) 615-9216
Mailing address
495 S NOVA RD, SUITE 112, ORMOND BEACH, FL 32174-8470
(386) 677-4300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0002188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699893
GHI
FL
01
—
5132624
AETNA
FL
01
—
PT0002188
PT LICENSE NO
FL
Enumeration date
11/29/2006
Last updated
09/19/2007
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