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Organization
FRYE SPORTS MEDICINE LLC
Active
Organization
FRYE SPORTS MEDICINE LLC
Active
Other names
Premier Performance and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG FRYE PT, DPT, SCS (OWNER/PHYSICAL THERAPIST)
(386) 290-7765
Entity
Organization
Contact information
Practice address
2100 N RONALD REAGAN BLVD STE 1060, LONGWOOD, FL 32750-3530
(386) 290-7765
Mailing address
300 LA CREEK CT, DEBARY, FL 32713-4523
(386) 290-7765
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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