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JEFFREY FOX

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1356746812

Individual Registrant:
 JEFFREY  FOX 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
14417 NW 152ND LN  ALACHUA, FL 32615-8667 US
Tel: 386-462-6400  Fax: 386-462-6404

Contact information for business:
2527 NW 94TH DR  GAINESVILLE, FL 32606-9214 US
Tel: 352-514-1346  Fax: --

Registration Information:
NPI: 1356746812
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA25365

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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