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Organization
TEAM BODY FITNESS LLC
Active
Organization
TEAM BODY FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD SAMANIEGO (DPT)
(224) 368-7133
Entity
Organization
Contact information
Practice address
5181 MARINER BLVD, SPRING HILL, FL 34609-1834
(352) 686-4660
Mailing address
11457 EXMORE ST, SPRING HILL, FL 34609-2130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12184154
CAQH
—
Enumeration date
02/04/2022
Last updated
02/04/2022
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