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Organization
PREMIERE PILATES REHABILITATION AND FITNESS
Active
Organization
PREMIERE PILATES REHABILITATION AND FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE CHINGOON TRISTRAM PT (PRESIDENT)
(904) 315-0667
Entity
Organization
Contact information
Practice address
4057 SEMINOLE POINT CT, ST AUGUSTINE, FL 32086-5851
(904) 797-8328
Mailing address
4057 SEMINOLE POINT CT, ST AUGUSTINE, FL 32086-5851
(904) 797-8328
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 17260
FL
Other
Enumeration date
08/09/2010
Last updated
07/02/2014
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