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Organization
PHYSIOACTIVE LLC
Active
Organization
PHYSIOACTIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSSEANE V BRITO PT (SOLE PROPRIETOR)
(561) 245-7418
Entity
Organization
Contact information
Practice address
7700 CONGRESS AVE, SUITE 2102, BOCA RATON, FL 33487-1352
(561) 241-5499
(561) 241-5498
Mailing address
22035 MARTELLA AVE, BOCA RATON, FL 33433-4632
(561) 245-7418
(561) 245-7418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
04/17/2013
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