Gleydiane Deoliveira in Jacksonville - Physical Therapist
Gleydiane Deoliveira - NPI 1982687869
Gleydiane Deoliveira is a Physical Therapist in Jacksonville, Florida. Gleydiane Deoliveira practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Gleydiane Deoliveira is 1982687869. The last update date is 2020-10-12.
Gleydiane Deoliveira's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Gleydiane Deoliveira is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gleydiane Deoliveira |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1982687869 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2020-10-12 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT20213 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00046488 | FL | RAILROAD MEDICARE | |
| Y034J | FL | BLUECROSS/BLUESHIELD |
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What is the Gleydiane Deoliveira's 1982687869?
The Gleydiane Deoliveira's NPI (National Provider Identifier) Number is 1982687869. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gleydiane Deoliveira's physical address?
The Gleydiane Deoliveira is physically located at 4500 San Pablo Rd S, in the city of Jacksonville, FL, with the postal code 322241865.
What is the Gleydiane Deoliveira's specialty and taxonomy code?
The Gleydiane Deoliveira's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982687869 to Gleydiane Deoliveira?
The Centers for Medicare & Medicaid Services originally issued the 1982687869 to Gleydiane Deoliveira on 2005-11-23.
As of what date were the Gleydiane Deoliveira's details last updated?
The information pertaining to the Gleydiane Deoliveira, including its address, specialty, and other details, was most recently updated on 2020-10-12.