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MR. DANIEL RAY BEACH PT

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

Registrant NPI Number: 1811399942

Individual Registrant:
MR. DANIEL RAY BEACH PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
105 MARINER HEALTH WAY SUITE 213 SAINT AUGUSTINE, FL 32086 US
Tel: 904-217-4259  Fax: 904-217-4251

Contact information for business:
3599 UNIVERSITY S BLVD ATTN: MANAGED CARE JACKSONVILLE, FL 32216-4252 US
Tel: 904-345-7607  Fax: 904-345-7284

Registration Information:
NPI: 1811399942
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT29672

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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