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Organization
TRISTAR THERAPY GROUP FL LLC
Active
Organization
TRISTAR THERAPY GROUP FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BLACK PT, DPT (OWNER)
(904) 419-9429
Entity
Organization
Contact information
Practice address
2100 A1A S SUITE 2, ST. AUGUSTINE, FL 32080
(904) 419-9429
(423) 373-1351
Mailing address
2800 N 6TH ST # 788, SAINT AUGUSTINE, FL 32084-1920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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