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Organization
STARACE TOTAL BALANCE PHYSICAL THERAPY P.A.
Active
Organization
STARACE TOTAL BALANCE PHYSICAL THERAPY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRANDON STARACE DPT (DOCTOROFPHYSICALTHERAPY/PRESIDENT)
(732) 668-4988
Entity
Organization
Contact information
Practice address
2550 N STATE ST UNIT 4, BUNNELL, FL 32110-3418
(386) 385-8749
(386) 693-1798
Mailing address
32 BANNBURY LN, PALM COAST, FL 32137-8848
(732) 668-4988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28234
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689006744
INDIVIDUAL NPI
FL
Enumeration date
03/07/2017
Last updated
06/06/2024
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