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1790454049
SAMEH KHAYAT
JACKSONVILLE, FL
NPI
1790454049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA31227)
Enumeration Date
2021-09-09
Last Update Date
2021-09-09
Business Address
SAMEH KHAYAT PTA
4101 SOUTHPOINT DR E
JACKSONVILLE, FL 32216-0996
Phone number: 904-296-6800
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Mailing Address
SAMEH KHAYAT PTA
8180 PRESLEY DR
JACKSONVILLE, FL 32216-0079
Phone number: 904-405-3605
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