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Organization
PARAGON PHYSICAL THERAPY INC
Active
Organization
PARAGON PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNABELLE BERTULFO VITUG RPT (PRESIDENT)
94132313397
Entity
Organization
Contact information
Practice address
3920 BEE RIDGE RD, BUILDING E, SUITE H, SARASOTA, FL 34233-1207
(941) 924-4605
(941) 924-4617
Mailing address
6015 44TH CT E, BRADENTON, FL 34203-7022
(941) 321-3397
(941) 739-6028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0009493
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619926292
NPI
FL
01
—
1780896712
NPI
FL
01
—
1982816435
NPI
FL
Enumeration date
05/09/2006
Last updated
10/16/2007
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