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1265658348
PERRY FARDELLA
JACKSONVILLE, FL
NPI
1265658348
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 19490)
Enumeration Date
2007-04-18
Last Update Date
2021-01-25
Business Address
Mr. PERRY FARDELLA PT, ATC, CSCS
4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
Phone number: 904-953-2000
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Mailing Address
Mr. PERRY FARDELLA PT, ATC, CSCS
86 OCEAN DR
ST AUGUSTINE, FL 32080-7450
Phone number:
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