Organization
PHYSICAL INTELLIGENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO JOAQUIN VARELA PT (OWNER)
(904) 616-1282
Entity
Organization
Contact information
Practice address
180 MARINE ST, ST AUGUSTINE, FL 32084-5153
(904) 616-1282
Mailing address
180 MARINE ST, ST AUGUSTINE, FL 32084-5153
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
18058
FL
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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