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Organization

WHITE BAY P.T. INC

Active
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Organization

WHITE BAY P.T. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIONEL PANNUNZIO (PRESIDENT)
(954) 430-1061
Entity
Organization

Contact information

Practice address
4465 SW 160TH AVE, 100, MIRAMAR, FL 33027-5734
(954) 430-1061
(954) 430-1061
Mailing address
4465 SW 160TH AVE, 100, MIRAMAR, FL 33027-5734
(954) 430-1061
(954) 430-1061

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20707
FL

Other

Enumeration date
08/15/2010
Last updated
08/15/2010
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