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Contact Information

AEGIS GROUP PRACTICE LLC
4881 DAIRY RD
MELBOURNE, FL32904-1800
 Phone: 479-201-6091
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for AEGIS GROUP PRACTICE LLC · (Female)

NPI Number 1649090218
Status Active
Credentials
Entity Individual
Enumeration date 10/16/2024
Last updated 10/16/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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