NPI 1912017492 · live from the CMS NPI Registry
Renante Abagat, PT
Physical Therapist in Jacksonville, FL. National Provider Identifier 1912017492, active.
NPI record
| NPI | 1912017492 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1325 San Marco Blvd, Suite 102, Jacksonville, FL 32207 |
| Practice phone | 904-557-9021 |
| Mailing address | 1325 San Marco Blvd, Suite 200, Jacksonville, FL 32207 |
| Enumerated | August 30, 2006 |
| Last updated | March 17, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT12830 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.