Organization
EXCEL PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL DIOLA RPT (PRESIDENT)
(727) 688-1065
Entity
Organization
Contact information
Practice address
7500 4TH ST N, ST PETERSBURG, FL 33702-5410
(727) 688-1065
(727) 362-0084
Mailing address
4923 AUGUSTA AVE, OLDSMAR, FL 34677-6332
(727) 688-1065
(727) 362-0084
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 8512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8889945
—
FL
Enumeration date
07/09/2006
Last updated
08/22/2020
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