MEDICARE: MONICA CHITTA

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	225100000X	Physical Therapist	PT32615	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	:	1285333880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA CHITTA

Provider Business Mailing Address
First Line	:	3585 SW 38TH TER # 205
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-5808
Country	:	US
Telephone Number	:	601-604-0410
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 N CLYDE MORRIS BLVD STE 140
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32117-5532
Country	:	US
Telephone Number	:	386-257-2672
Fax Number	:

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

Provider Enumeration Date	:	03/02/2023
Last Update Date	:	03/02/2023

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Directions to “ MONICA CHITTA ” Practice Location

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