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Organization
FTX MEDICAL LLC
Active
Organization
FTX MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIO CIFUENTES (OWNER)
(561) 995-0136
Entity
Organization
Contact information
Practice address
7815 NW BEACON SQUARE BLVD STE 201, BOCA RATON, FL 33487-1345
(561) 995-0136
Mailing address
7815 NW BEACON SQUARE BLVD STE 201, BOCA RATON, FL 33487-1345
(561) 995-0136
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
MULTI-SPECIALITY GROUP
—
01
—
225100000X
PHYSICAL THERAPIST
—
Enumeration date
09/10/2019
Last updated
09/10/2019
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