MEDICARE: DR. CLAUDE L FIGHTMASTER LMFT

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	106H00000X	Marriage & Family Therapist	MT-0001509	FL

General Provider Information

NPI Number	:	1780735266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDE L FIGHTMASTER LMFT

Provider Business Mailing Address
First Line	:	10485 HELEY ST
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-3729
Country	:	US
Telephone Number	:	352-684-0169
Fax Number	:

Provider Business Practice Location Address
First Line	:	10485 HELEY ST
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34608-3729
Country	:	US
Telephone Number	:	352-684-0169
Fax Number	:

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

Provider Enumeration Date	:	01/13/2007
Last Update Date	:	07/08/2007

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