Organization
AGOSTINO ATHLETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND AGOSTINO DPT (OWNER / PROVIDER)
(239) 848-8463
Entity
Organization
Contact information
Practice address
1490 NE PINE ISLAND RD STE 6B, CAPE CORAL, FL 33909-2173
(239) 848-8463
(855) 289-1477
Mailing address
1145 SW 37TH ST, CAPE CORAL, FL 33914-5163
(239) 848-8463
(855) 289-1477
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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