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Organization
EVERGLADES PHYSICAL THERAPY INC
Active
Organization
EVERGLADES PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CONCEPCION DPT (OWNER)
(305) 562-5934
Entity
Organization
Contact information
Practice address
8520 SW 185TH TER, CUTLER BAY, FL 33157-7248
(305) 562-5934
Mailing address
8520 SW 185TH TER, CUTLER BAY, FL 33157-7248
(305) 562-5934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063799385
FLORIDA BCBS
FL
Enumeration date
06/29/2020
Last updated
11/12/2024
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