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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIDES MAE GUADALUPE, PT

Active

MIDES MAE GUADALUPE, PT is a Physical Therapy Assistant healthcare provider located in ORANGE PARK, Florida. NPI 1619631207 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ORANGE PARK, FL

Registration Details

NPI Number
1619631207
Provider Type
Individual
Gender
Female
NPI Issued
Oct 29, 2021 (4.7866847405915 yrs)
Last Updated
Oct 29, 2021
License
PT21313 (FL)

Practice Information

Address
1700 WELLS RD STE 22
ORANGE PARK, FL, 320732374
Browse FL providers · Browse ZIP 32073
Phone
9042094714
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in ORANGE PARK, FL

Name Credential NPI
MR. ARTHUR JONATHAN COLLIER PT,ATC.LAT 1295733749
ALLEN M WEISS MPT,ATC/L 1821096280
MR. EDWARD NATHAN COLLIER PT 1184698490
MR. JUSTIN C WELDON MSPT 1548235914
MRS. EMILIE JANET COHEN MSPT 1720053028
MONIKA BENECIUK 1801902572
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.