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Organization
OVERLORD LLC
Active
Organization
OVERLORD LLC
Active
Other names
OVERLORD REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JARNAGIN D.P.T. (PRESIDENT)
(386) 315-0778
Entity
Organization
Contact information
Practice address
523 MAGNOLIA TRACE BLVD, PALM COAST, FL 32164-2389
(386) 315-0778
(386) 872-5671
Mailing address
1208 N HALIFAX AVE, DAYTONA BEACH, FL 32118-3657
(386) 315-0778
(386) 872-5671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28303
FL
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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