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Organization
FLORIDA PHYSICAL THERAPY SPECIALISTS PORT CHARLOTTE INC.
Active
Organization
FLORIDA PHYSICAL THERAPY SPECIALISTS PORT CHARLOTTE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGIO E VALDIVIA PT (PRESIDENT)
(941) 468-1660
Entity
Organization
Contact information
Practice address
24430 SANDHILL BLVD UNIT 301, PUNTA GORDA, FL 33983-5216
(941) 625-2907
(941) 766-1631
Mailing address
PO BOX 1551, VENICE, FL 34284-1551
(941) 468-1660
(941) 484-6024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10727
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001872584
HIGHMARK BCBS
—
01
—
Y053N
BCBS
FL
Enumeration date
08/11/2005
Last updated
03/12/2026
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