Waggoner, Phillip Ray

Waggoner, Phillip Ray is an sole proprietor health care provider with primary practice located at 5915 Ponce De Leon Blvd Plumer Bldg.,5Th Floor, Coral Gables FL 33146-2435. 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. Waggoner, Phillip Ray can be contacted via phone (305) 284-4535.

Contact Information

Primary practice address
5915 Ponce De Leon Blvd Plumer Bldg.,5Th Floor Coral Gables FL 33146-2435
Phone: (305) 284-4535
Fax: (305) 284-6128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 7485 Florida

Profile Details

NPI number 1205018710
LBN Legal business name Waggoner, Phillip Ray
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2007
Last updated Nov 27th, 2007 - about 17 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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