MEDICARE: MICHAEL FISHER PT

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	208100000X	Physical Medicine & Rehabilitation Physician	PT32946	FL

General Provider Information

NPI Number	:	1366960932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL FISHER PT

Provider Business Mailing Address
First Line	:	4655 66TH ST N
Second Line	:
City	:	KENNETH CITY
State	:	FL
Zip	:	33709-4827
Country	:	US
Telephone Number	:	727-546-4700
Fax Number	:	727-549-8108

Provider Business Practice Location Address
First Line	:	4655 66TH ST N
Second Line	:
City	:	KENNETH CITY
State	:	FL
Zip	:	33709-4827
Country	:	US
Telephone Number	:	727-546-4700
Fax Number	:	727-549-8109

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

Provider Enumeration Date	:	09/05/2017
Last Update Date	:	01/27/2020

Similar Medicare Providers

1588606073 — JOSEPH R ZUCCO PT
Practice Location Address:

4655 66TH ST N
KENNETH CITY, FL
33709-4827

Practice Phone: 727-546-4700
Practice Fax: 727-549-8108

1720132616 — SPORTS AND ORTHOPEDIC REHABILITATION SERVICES INC
Practice Location Address:

4655 66TH ST N , NUMBER 22B
KENNETH CITY, FL
33709-4827

Practice Phone: 727-546-4700
Practice Fax:

1609311968 — CRISTINE PLAZA DPT
Practice Location Address:

4655 66TH ST N
KENNETH CITY, FL
33709-4827

Practice Phone: 727-546-4700
Practice Fax: 727-549-8108

1043967722 — TANNER SHELLENBARGER
Practice Location Address:

4655 66TH ST N STE 22B
KENNETH CITY, FL
33709-4827

Practice Phone: 727-546-4700
Practice Fax:

1427828318 — JENNIFER MARIE KROUSE PTA
Practice Location Address:

4655 66TH ST N
KENNETH CITY, FL
33709-4827

Practice Phone: 727-546-4700
Practice Fax:

1154316529 — DR. DEBRA KAY PH.D.
Practice Location Address:

2531 POTOMAC DR
IOWA CITY, IA
52245-4827

Practice Phone: 319-354-3529
Practice Fax: 319-354-3529

Directions to “ MICHAEL FISHER PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.