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1174281828
JEREMY DOUGLAS
GAINESVILLE, FL
NPI
1174281828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA27275)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
JEREMY DOUGLAS PTA
4842 SW ARCHER RD
GAINESVILLE, FL 32608-3813
Phone number: 352-378-7172
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Mailing Address
JEREMY DOUGLAS PTA
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 800-804-9961
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