Jade Oasis LLC

Physical Therapist · Stuart, FL

Organization Active NPI

NPI number 1124195334

Practice location

4180 SE Geneva Dr
Stuart, FL 34997-5590
Phone
(772) 284-1128
Fax
(772) 463-7137

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NPI record

NPI
1124195334
Entity type
Organization (Type 2)
Enumeration date
November 30, 2006
Last updated
September 21, 2007
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT 17093 FL

Mailing address

PO Box 827
Port Salerno, FL 34992-0827
Phone
(772) 284-1128

Authorized official

Name
Lillian L Kwong, PT
Title
Owner
Phone
(772) 284-1128

About Jade Oasis LLC

Jade Oasis LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 4180 SE Geneva Dr, Stuart, FL 34997-5590. The NPI number 1124195334 was assigned on November 30, 2006 and the record was last updated on September 21, 2007.

Jade Oasis LLC lists a license in the registry: #PT 17093 (FL) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Lillian L Kwong, PT, Owner.

Frequently asked questions

What is the NPI number of Jade Oasis LLC?

The NPI number is 1124195334.

What is the phone number of Jade Oasis LLC?

The phone number listed for the practice location is (772) 284-1128.

Where is Jade Oasis LLC located?

4180 SE Geneva Dr, Stuart, FL 34997-5590.

What is the taxonomy code for Jade Oasis LLC?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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