MEDICARE: MS. CAROL J HEALY MS, 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	225100000X	Physical Therapist	PT30471	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	:	1508905175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROL J HEALY MS, PT

Provider Business Mailing Address
First Line	:	13020 N TELECOM PKWY
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0915
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:

Provider Business Practice Location Address
First Line	:	991 E DEL WEBB BLVD
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-6669
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	02/22/2024

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