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JON VINCENT EBERLE PT

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

Registrant NPI Number: 1447466123

Individual Registrant:
 JON VINCENT EBERLE PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4747 N OCEAN DRIVE SUITE 261 LAUDERDALE BY THE SEA, FL 33308-2956 US
Tel: 954-545-4922  Fax: 954-545-4923

Contact information for business:
4737 N OCEAN DRIVE #201 LAUDERDALE BY THE SEA, FL 33308-2920 US
Tel: 954-545-4922  Fax: 954-545-4923

Registration Information:
NPI: 1447466123
Entity Type: Individual

Specialty information:

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

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSE#17504FL01




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