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Organization
WESTCHASE PHYSICAL THERAPY AND MEDICAL SUPPLY LLC
Active
Organization
WESTCHASE PHYSICAL THERAPY AND MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MAGEE DPT (PRESIDENT)
(813) 343-3960
Entity
Organization
Contact information
Practice address
12705 RACE TRACK RD, TAMPA, FL 33626-1314
(813) 343-3960
(813) 343-3965
Mailing address
12705 RACE TRACK RD, TAMPA, FL 33626-1314
(813) 343-3960
(813) 343-3965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7776919
AETNA
FL
01
—
Y924J
BCBS
FL
Enumeration date
12/28/2006
Last updated
07/26/2022
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