Pogue, Brian Kelly

Pogue, Brian Kelly is an individual health care provider with primary practice located at 2030 S Patrick Dr Ste 3, Indian Harbour Beach FL 32937-4400. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Pogue, Brian Kelly can be contacted via phone (321) 773-8155.

Contact Information

Primary practice address
2030 S Patrick Dr Ste 3 Indian Harbour Beach FL 32937-4400
Phone: (321) 773-8155
Fax: (321) 773-8154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-25067 Florida

Profile Details

NPI number 1578899688
LBN Legal business name Pogue, Brian Kelly
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2009
Last updated May 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578899688 NPPES
Florida Other K-3234 BEACHSIDE P.T. GROUP NUMBER
Florida Other PT-25067 BEACHSIDE P.T. GROUP NUMBER

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