Organization
PHYSICAL INTELLIGENCE ST. AUGUSTINE
Active
Organization
PHYSICAL INTELLIGENCE ST. AUGUSTINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO JOAQUIN VARELA DPT, PHDC (MANAGING MEMBER)
(904) 616-1282
Entity
Organization
Contact information
Practice address
180 MARINE ST, ST AUGUSTINE, FL 32084-5153
(904) 616-1282
(904) 342-0642
Mailing address
181 MOSES CREEK BLVD, ST AUGUSTINE, FL 32086-5674
(904) 616-1282
(904) 342-0642
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
18058
FL
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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