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JEFFERY MATTHEW BALOGH DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1578078093

Individual Registrant:
 JEFFERY MATTHEW BALOGH DPT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2165 LITTLE RD  TRINITY, FL 34655-4410 US
Tel: 727-372-6637  Fax: --

Contact information for business:
2165 LITTLE RD  TRINITY, FL 34655-4410 US
Tel: --  Fax: --

Registration Information:
NPI: 1578078093
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT33139

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSEPT33139FL01




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