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Organization
HARBOR CITY PHYSICAL THERAPY, PA
Active
Organization
HARBOR CITY PHYSICAL THERAPY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE MICHAEL SHNEYDER PT (OWNER/PT)
(321) 953-3991
Entity
Organization
Contact information
Practice address
307 E NEW HAVEN AVE, SUITE 2, MELBOURNE, FL 32901-4576
(321) 953-3991
(321) 953-3951
Mailing address
307 E NEW HAVEN AVE, SUITE 2, MELBOURNE, FL 32901-4576
(321) 953-3991
(321) 953-3951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
FLPT18001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331012
WELLCARE PROVIDER NUMBER
FL
05
—
891232700
—
FL
01
—
Y918X
BCBS PROVIDER NUMBER
FL
Enumeration date
03/15/2007
Last updated
01/24/2024
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