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1811095789
TEOFILO, III SIM
ORANGE PARK, FL
NPI
1811095789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT19211)
Enumeration Date
2006-09-21
Last Update Date
2007-07-08
Business Address
TEOFILO, III SIM PT
540 KINGSLEY AVE
ORANGE PARK, FL 32073-4847
Phone number: 904-264-2156
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Mailing Address
TEOFILO, III SIM PT
2656 SHANNON ST
ORANGE PARK, FL 32065-6344
Phone number: 904-272-3837
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