Individual provider · Type 1 NPI

Nicole Eustis, DPT

Military Health Care Provider · Miami, FL

NPI number 1821285305 Active

Practice location

1201 NW 16th St
Miami, FL 33125-1624

Mailing address

145 SE 25th Rd Apt 701
Miami, FL 33129-2401

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X23511 (FL)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1821285305

Nicole Eustis, DPT's National Provider Identifier is 1821285305, issued on Sep 28, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Miami, FL. The record was last updated on Sep 28, 2007.