PHYSIO MED INC NPI 1720096720

NPI Information

NPI: 1720096720
Provider Name: PHYSIO MED INC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
2765 S BAY ST
EUSTIS, FL
ZIP 32726
Phone: (352) 589-5955
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PHYSIO MED INC is a rehabilitation clinic center in Eustis, FL. PHYSIO MED INC NPI is 1720096720. The provider is registered as an organization entity type.

The provider's business location address is:

2765 S BAY ST
EUSTIS, FL
ZIP 32726-501
Phone: (352) 589-5955
Fax: (352) 589-5747

The provider's authorized official is Scottie Bull .
The authorized official title is President and has the following contact phone number (352) 589-5595.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 2/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q3N	OTHER	FLORIDA	BCBS
2	72890070	OTHER		AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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