Organization
XPE SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DELISI PT, DPT (CO-OWNER/PHYSICAL THERAPIST)
(347) 672-4630
Entity
Organization
Contact information
Practice address
100 NW 6TH ST APT 1903, MIAMI, FL 33136-4134
(347) 672-4630
Mailing address
100 NW 6TH ST APT 1903, MIAMI, FL 33136-4134
(347) 672-4630
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902448400
PHYSICAL THERAPIST
FL
Enumeration date
07/26/2023
Last updated
07/26/2023
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