Organization
FRYE SPORTS MEDICINE LLC
Active
Other names
Premier Performance and Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG FRYE PT, DPT, SCS (OWNER/PHYSICAL THERAPIST)
(386) 290-7765
Entity
Organization
Contact information
Practice address
2100 N RONALD REAGAN BLVD STE 1060, LONGWOOD, FL 32750-3530
(386) 290-7765
Mailing address
300 LA CREEK CT, DEBARY, FL 32713-4523
(386) 290-7765
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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