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Organization
JADE OASIS LLC
Active
Organization
JADE OASIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN L KWONG PT (OWNER)
(772) 284-1128
Entity
Organization
Contact information
Practice address
4180 SE GENEVA DR, STUART, FL 34997-5590
(772) 284-1128
(772) 463-7137
Mailing address
PO BOX 827, PORT SALERNO, FL 34992-0827
(772) 284-1128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 17093
FL
Other
Enumeration date
11/30/2006
Last updated
09/21/2007
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