Organization
PREVAIL THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORI S MILLER (OWNER)
(904) 208-8811
Entity
Organization
Contact information
Practice address
22 BERMUDA GREENS AVE, PONTE VEDRA, FL 32081-4370
(904) 208-8811
(904) 814-8953
Mailing address
22 BERMUDA GREENS AVE, PONTE VEDRA, FL 32081-4370
(904) 208-8811
(904) 814-8953
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/16/2012
Last updated
03/10/2022
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