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Organization
SAINT AUGUSTINE REHABILITATION SPECIALISTS LLC
Active
Organization
SAINT AUGUSTINE REHABILITATION SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LOMAGLIO P.T. (OWNER)
(904) 217-4259
Entity
Organization
Contact information
Practice address
105 MARINER HEALTH WAY, STE 213, ST AUGUSTINE, FL 32086-3251
(904) 217-4259
(904) 217-4251
Mailing address
105 MARINER HEALTH WAY STE 213, SAINT AUGUSTINE, FL 32086-3251
(904) 217-4259
(904) 217-4251
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22437
FL
225X00000X
Occupational Therapist
PT22437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001451900
—
FL
01
—
DP7316
RR MEDICARE
FL
01
—
Y902D
BCBS
FL
Enumeration date
01/13/2009
Last updated
04/09/2020
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