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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