DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KIMBERLY MUDANO PT

MEDICARE: KIMBERLY MUDANO 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
1225200000XPhysical Therapy Assistant1489FL

General Provider Information

NPI Number : 1417757642
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY MUDANO PT
Provider Business Mailing Address
First Line : 1444 HAVERHILL DR
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-4233
Country : US
Telephone Number : 727-271-2123
Fax Number :
Provider Business Practice Location Address
First Line : 2960 TAMPA RD
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-3340
Country : US
Telephone Number : 727-743-1953
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2025
Last Update Date : 04/15/2025

Similar Medicare Providers

1154253680 — MRS. CARMENCITA TELOREN TRASMONTE
Practice Location Address:
2960 TAMPA RD
PALM HARBOR, FL
34684-3340
Practice Phone: 727-619-1896
Practice Fax:
1336310770 — MARK FULGHUM MPT
Practice Location Address:
2960 TAMPA RD
PALM HARBOR, FL
34684-3340
Practice Phone: 727-786-4009
Practice Fax:
1710308093 — BALMORAL TENANT SERVICES, INC.
Practice Location Address:
2960 TAMPA RD
PALM HARBOR, FL
34684-3340
Practice Phone: 727-781-8686
Practice Fax: 727-784-7200
1760210777 — 2960 TAMPA RD TENANT LLC
Practice Location Address:
2960 TAMPA RD
PALM HARBOR, FL
34684-3340
Practice Phone: 727-781-8686
Practice Fax:
1376375766 — JOHN MCDONALD PTA
Practice Location Address:
2960 TAMPA RD
PALM HARBOR, FL
34684-3340
Practice Phone: 727-939-6448
Practice Fax:
1790581098 — BETTER JOINTS THERAPY, LLC
Practice Location Address:
2960 TAMPA RD
PALM HARBOR, FL
34684-3340
Practice Phone: 727-743-1953
Practice Fax: 727-493-3966

Directions to “ KIMBERLY MUDANO 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 © 2007-2026 (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.