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NPI Code Detail

MEDICARE: FCHR PA

MEDICARE: FCHR PA
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
1225100000XPhysical TherapistPT20389FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y911QOTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760427975
Entity Type Code : Organization
Provider Name (Legal Business Name) : FCHR PA
Provider Business Mailing Address
First Line : PO BOX 135366
Second Line :
City : CLERMONT
State : FL
Zip : 34713-5366
Country : US
Telephone Number : 352-243-9341
Fax Number : 352-243-8293
Provider Business Practice Location Address
First Line : 627 8TH ST
Second Line :
City : CLERMONT
State : FL
Zip : 34711-2159
Country : US
Telephone Number : 352-243-4422
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. LUKE T KRON
Credential : PT
Telephone Number : 352-243-9341
Provider Enumeration Date : 06/19/2006
Last Update Date : 02/14/2023

Similar Medicare Providers

1861420242 — MR. LUKE T KRON PT
Practice Location Address:
627 8TH ST
CLERMONT, FL
34711-2159
Practice Phone: 352-243-4422
Practice Fax: 352-243-8293
1124365101 — CHRISTINE BROWN
Practice Location Address:
627 8TH ST
CLERMONT, FL
34711-2159
Practice Phone: 352-232-4422
Practice Fax:
1154757342 — MOBILITY REHABILITATION INC.
Practice Location Address:
627 8TH ST
CLERMONT, FL
34711-2159
Practice Phone: 352-243-9341
Practice Fax: 352-242-4766
1265895163 — MR. ANDRON GOKOOL OTR/L
Practice Location Address:
627 8TH ST
CLERMONT, FL
34711-2159
Practice Phone: 352-243-4422
Practice Fax:
1518408202 — JOSE AURELIO MARTIN
Practice Location Address:
627 8TH ST
CLERMONT, FL
34711-2159
Practice Phone: 352-243-4422
Practice Fax:
1366968620 — KELLY TODD
Practice Location Address:
627 8TH ST
CLERMONT, FL
34711-2159
Practice Phone: 352-243-9341
Practice Fax: 352-242-8766

Directions to “FCHR PA ” Practice Location

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