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MR. BERNARD AGTUCA AUDITOR PT

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

Registrant NPI Number: 1265673644

Individual Registrant:
MR. BERNARD AGTUCA AUDITOR PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2810 RULEME ST  EUSTIS, FL 32726-6527 US
Tel: 352-483-5037  Fax: --

Contact information for business:
5705 QUINTON WAY STONEYBROOK HILLS MOUNT DORA, FL 32757-8030 US
Tel: 954-798-1354  Fax: --

Registration Information:
NPI: 1265673644
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
PAPT019791
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
NY031079-1
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT25425

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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