Doctor Name: | JAVIER OBREGON |
NPI Number: | 1528479557 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT29193 |
Business Practice Address: | 240 Crandon Blvd Suite 202 Key Biscayne, FL - 33149 |
Business Phone Number: | 7864645930 |
Business Fax Number: | 7864645935 |
Mailing Address: | Po Box 331931, MIAMI |
State: | FL |
Postal Code: | 33233 |
Phone Number: | 7864645930 |
Fax Number: | 7864645935 |
NPI Enumeration Date: | 05/13/2014 |
NPI Last Update Date: | 05/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT29193 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |