Individual
DUBLAIN COULANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 S PINE ST, SEBRING, FL 33870-3654
(863) 385-0161
Mailing address
129 SANDERLING DR, HAINES CITY, FL 33844-8233
(863) 353-1631
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNAVALIBLE
BLUE CROSS
—
Enumeration date
01/17/2019
Last updated
07/01/2019
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