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Organization
FUNCTIONAL PHYSICAL THERAPY, LLC
Active
Organization
FUNCTIONAL PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ULYSSES DARNELL SINGLETON III DPT (OWNER)
(407) 810-3353
Entity
Organization
Contact information
Practice address
1310 ISLAND GREEN ST, CHAMPIONS GATE, FL 33896
(407) 810-3353
(407) 386-6733
Mailing address
1310 ISLAND GREEN ST, CHAMPIONS GATE, FL 33896
(407) 810-3353
(407) 386-6733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 21146
FL
Other
Enumeration date
05/04/2010
Last updated
10/29/2014
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