MEDICARE: FERNANDO SCHERRER MALAMAN 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	PT27770	FL

General Provider Information

NPI Number	:	1538403761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERNANDO SCHERRER MALAMAN DPT

Provider Business Mailing Address
First Line	:	8891 BELLE RIVE BLVD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-1628
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9100 MERRILL RD
Second Line	:	SUITE #10
City	:	JACKSONVILLE
State	:	FL
Zip	:	32225-4358
Country	:	US
Telephone Number	:	904-725-9994
Fax Number	:

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

Provider Enumeration Date	:	11/09/2012
Last Update Date	:	11/09/2012

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