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Organization

ADVANCED FITNESS & THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN SHEFFIELD (ACCOUNT RECOVERY SPECIALIST)
(541) 639-8761
Entity
Organization

Contact information

Practice address
1200 UNIVERSITY BLVD STE 101, JUPITER, FL 33458-5215
(541) 639-8761
Mailing address
1200 UNIVERSITY BLVD STE 101, JUPITER, FL 33458-5215
(541) 639-8761

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
106985
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013988690
FL
05
1407143050
FL
05
1679811517
FL
Enumeration date
01/30/2017
Last updated
01/30/2017
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