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Organization
GAINESVILLE PHYSICAL THERAPY & WELLNESS LLC
Active
Organization
GAINESVILLE PHYSICAL THERAPY & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C LOWER DPT (MEMBER MANAGER)
(352) 376-6300
Entity
Organization
Contact information
Practice address
4113 NW 6TH ST STE C, GAINESVILLE, FL 32609-0731
(352) 376-6300
(352) 372-0661
Mailing address
4113 NW 6TH ST STE C, GAINESVILLE, FL 32609-0731
(352) 376-6300
(352) 372-0661
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12687
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH0372
RAILROAD MEDICARE
FL
01
—
Y912S
BCBS
FL
Enumeration date
10/25/2006
Last updated
03/11/2010
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