MEDICARE: MR. MICHAEL FRANCIS LYNCH 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	PT33499	PA

General Provider Information

NPI Number	:	1194092114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL FRANCIS LYNCH DPT

Provider Business Mailing Address
First Line	:	62 SANDCASTLE DR
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32176-4157
Country	:	US
Telephone Number	:	570-762-3953
Fax Number	:	386-603-6007

Provider Business Practice Location Address
First Line	:	873 HULL RD
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-0737
Country	:	US
Telephone Number	:	386-267-2965
Fax Number	:	386-603-6007

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

Provider Enumeration Date	:	11/18/2011
Last Update Date	:	05/08/2024

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