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Organization
SOUTH VENICE PHYSICAL THERAPY
Active
Organization
SOUTH VENICE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH I TRIBIT (PRESIDENT)
(941) 375-8734
Entity
Organization
Contact information
Practice address
1845 ENGLEWOOD RD UNIT 825, ENGLEWOOD, FL 34223-1822
(941) 375-8734
(941) 445-5085
Mailing address
109 LAUREL RD E, NOKOMIS, FL 34275-5233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19775
FL
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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