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Organization
FLORIDA PHYSICAL THERAPY SPECIALISTS PA
Active
Organization
FLORIDA PHYSICAL THERAPY SPECIALISTS PA
Active
Other names
DOCTORS CHOICE PHYSICAL THERAPY PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCIEL E BETANCOURT PT, DPT (PRESIDENT)
(941) 426-8100
Entity
Organization
Contact information
Practice address
12767 TAMIAMI TRL S, NORTH PORT, FL 34287-1934
(941) 426-8100
(941) 426-0800
Mailing address
PO BOX 380967, MURDOCK, FL 33938-0967
(941) 828-3641
(941) 830-8370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT15536
FL
225100000X
Physical Therapist
Primary
PT15536
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO5166
RAILROAD MEDICARE
FL
01
—
P00686970
RAILROAD MEDICARE
FL
Enumeration date
10/18/2007
Last updated
07/21/2022
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