Phillip Ray Waggoner in Coral Gables - Physical Therapist
Phillip Ray Waggoner - NPI 1205018710
Phillip Ray Waggoner is a Physical Therapist in Coral Gables, Florida. Phillip Ray Waggoner practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Phillip Ray Waggoner is 1205018710. The last update date is 2007-11-27.
Phillip Ray Waggoner's current location address is 5915 Ponce De Leon Blvd, Coral Gables, Florida. You can contact this provider via phone number 3052844535 and fax number 3052846128. The mailing address for Phillip Ray Waggoner is 5915 Ponce De Leon Blvd, Coral Gables, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Ray Waggoner |
|---|---|
| Address | 5915 Ponce De Leon Blvd, Coral Gables, Florida |
| Phone Number | 3052844535 |
| Fax Number | 3052846128 |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1205018710 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2007-11-27 |
Provider Mailing Address Detail
| Address | 5915 Ponce De Leon Blvd |
|---|---|
| City | Coral Gables |
| State | Florida (FL) |
| Post Code | 331462435 |
| Phone Number | 3052844535 |
| Fax Number | 3052846128 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT 7485 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identification code assigned to Phillip Ray Waggoner by the Centers for Medicare & Medicaid Services?
The Phillip Ray Waggoner has been issued the NPI (National Provider Identifier) 1205018710, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Phillip Ray Waggoner is physically located?
The Phillip Ray Waggoner is physically situated at the following address: 5915 Ponce De Leon Blvd, Coral Gables, FL, 331462435.
What is Phillip Ray Waggoner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phillip Ray Waggoner's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
When did the Phillip Ray Waggoner receive its 1205018710?
The Phillip Ray Waggoner was issued its 1205018710 on 2007-11-27, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Phillip Ray Waggoner most recently updated or revised?
The information pertaining to Phillip Ray Waggoner, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-27.
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