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Organization
HEALTH PROFESSIONAL CONNECT
Active
Organization
HEALTH PROFESSIONAL CONNECT
Active
Other names
Fitnessatyourdoor
Organization subpart
No
Provider details
NPI number
Authorized official
KASHAWN NELSON FRASER (CEO)
(561) 635-7819
Entity
Organization
Contact information
Practice address
10101 W SAMPLE RD, CORAL SPRINGS, FL 33065-3937
(954) 686-7321
Mailing address
10101 W SAMPLE RD, CORAL SPRINGS, FL 33065-3937
(954) 686-7321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/16/2023
Last updated
11/28/2023
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