MEDICARE: DR. STEVEN CHURCHILL DPT

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	2251X0800X	Orthopedic Physical Therapist	08798	LA
2	2251X0800X	Orthopedic Physical Therapist	31010	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023423407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN CHURCHILL DPT

Provider Business Mailing Address
First Line	:	7407 RIPLEY CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32836-3721
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4125 HUNTERS PARK LN
Second Line	:	SUITE 16
City	:	ORLANDO
State	:	FL
Zip	:	32837-7615
Country	:	US
Telephone Number	:	407-855-0614
Fax Number	:

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

Provider Enumeration Date	:	06/24/2014
Last Update Date	:	12/04/2015

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Directions to “ DR. STEVEN CHURCHILL DPT” Practice Location

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