Fugleberg, Keefe Charles

Fugleberg, Keefe Charles is an sole proprietor health care provider with primary practice located at 1727 2Nd St Ste 2 , Sarasota FL 34236-8524. 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. Fugleberg, Keefe Charles can be contacted via phone (941) 951-0170.

Contact Information

Primary practice address
1727 2Nd St Ste 2 Sarasota FL 34236-8524
Phone: (941) 951-0170
Fax: (941) 993-1088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT18366 Florida

Profile Details

NPI number 1790760924
LBN Legal business name Fugleberg, Keefe Charles
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2005
Last updated Nov 6th, 2018 - about 8 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 1790760924 NPPES
Florida Other PT18366 LICENSE
Florida Other Y9793 LICENSE

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