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MITCHELL GERALD PLANA BARROS

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

Registrant NPI Number: 1851804553

Individual Registrant:
 MITCHELL GERALD PLANA BARROS 
Gender: M
Sole Proprietor

Location and contact information for practice:
150 SOUTHPARK BLVD STE 204D  SAINT AUGUSTINE, FL 32086-5179 US
Tel: 904-315-2881  Fax: --

Contact information for business:
1093 A1A BEACH BLVD # 198  SAINT AUGUSTINE, FL 32080-6733 US
Tel: 904-315-2881  Fax: --

Registration Information:
NPI: 1851804553
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA294088
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FL35921

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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