Organization
CSL PHYSICAL THERAPY, LLC
Active
Parent organization
SHEPHERD CAPSOL CSL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHEPHERD CAPSOL CSL, LLC
Authorized official
JOSEPH JASMON (CFO)
(904) 806-9944
Entity
Organization
Contact information
Practice address
941 VILLAGE TRL, PORT ORANGE, FL 32127-9353
(904) 806-9944
Mailing address
6538 COLLINS AVE # 313, MIAMI BEACH, FL 33141-4694
(904) 806-9944
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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