MEDICARE: MR. ROBERT WILLIAM BIAGGI ATC/LAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AL 1035	FL

General Provider Information

NPI Number	:	1013974542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT WILLIAM BIAGGI ATC/LAT

Provider Business Mailing Address
First Line	:	413 GREEN SPRING CIR
Second Line	:
City	:	WINTER SPRINGS
State	:	FL
Zip	:	32708-3021
Country	:	US
Telephone Number	:	407-327-9369
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 BEAR CROSSING DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32824-6004
Country	:	US
Telephone Number	:	407-852-3400
Fax Number	:	407-852-3469

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	07/08/2007

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