Dominique Renee Dushuttle in Beverly Hills - Orthopedic
Dominique Renee Dushuttle - NPI 1538260302
Dominique Renee Dushuttle is a Orthopedic in Beverly Hills, Florida. Dominique Renee Dushuttle practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Dominique Renee Dushuttle is 1538260302. The last update date is 2021-02-19.
Dominique Renee Dushuttle's current location address is 2155 W Mustang Blvd, Beverly Hills, Florida. You can contact this provider via phone number 3527460019 and fax number 3527461035. The mailing address for Dominique Renee Dushuttle is 2155 W Mustang Blvd, Beverly Hills, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominique Renee Dushuttle |
|---|---|
| Address | 2155 W Mustang Blvd, Beverly Hills, Florida |
| Phone Number | 3527460019 |
| Fax Number | 3527461035 |
| Sole Proprietor | N |
| Credentials | MSPT |
NPI Number Detail
| NPI Number | 1538260302 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2021-02-19 |
Provider Mailing Address Detail
| Address | 2155 W Mustang Blvd |
|---|---|
| City | Beverly Hills |
| State | Florida (FL) |
| Post Code | 344653520 |
| Phone Number | 3527460019 |
| Fax Number | 3527461035 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 19956 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 386902 | MD | MAMSI/UNITED HEALTHCARE | |
| J5640001 | MD | BLUE CHOICE | |
| 61106203 | MD | CAREFIRST | |
| 754AAT | MD | CAREFIRST GROUP # | |
| 900070997 | MD | TAX ID # | |
| 608308600 | MD | US DEPARTMENT OF LABOR | |
| DC4689 | MD | RAIL ROAD GROUP # | |
| 1000037946 | DE | DELAWARE PHYSICIANS CARE | |
| P00200219 | MD | RAIL ROAD MEDICARE |
Post Comment/ Review Below
Could you provide the complete address where Dominique Renee Dushuttle is physically located?
The Dominique Renee Dushuttle is situated at the following address: 2155 W Mustang Blvd, Beverly Hills, FL 344653520.
On what date was the 1538260302 assigned to Dominique Renee Dushuttle?
The Dominique Renee Dushuttle was issued its 1538260302 on 2006-09-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Dominique Renee Dushuttle receive the assignment of its 1538260302 from the Centers for Medicare & Medicaid Services?
The Dominique Renee Dushuttle was issued its 1538260302 by the Centers for Medicare & Medicaid Services on 2006-09-26.
When was the information regarding Dominique Renee Dushuttle most recently updated?
The details pertaining to the Dominique Renee Dushuttle, including its address, specialty, and other relevant information, were last refreshed on 2021-02-19.
As of what date was the information pertaining to Dominique Renee Dushuttle, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Dominique Renee Dushuttle, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-19.
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