Individual
ROBERT EMIL PANICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
210 JUPITER LAKES BLVD, BLDG. 4000 SUITE 106A, JUPITER, FL 33458-7191
(561) 312-9992
Mailing address
PO BOX 2169, JUPITER, FL 33468-2169
(561) 312-9992
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
PT3342
FL
Other
Enumeration date
11/24/2014
Last updated
11/24/2014
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