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NPI Code Detail

MEDICARE: MR. WILLIAM SCOTT LUTZ APRN, PT

MEDICARE:  MR. WILLIAM SCOTT LUTZ  APRN, 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
1225100000XPhysical TherapistPT22471FL
2363L00000XNurse PractitionerAPRN9196918FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1APRN9196918OTHERFLANCC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790992378
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM SCOTT LUTZ APRN, PT
Provider Business Mailing Address
First Line : 1926 CRESCENT BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32817-4609
Country : US
Telephone Number : 407-227-0359
Fax Number : 774-209-4355
Provider Business Practice Location Address
First Line : 1926 CRESCENT BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32817-4609
Country : US
Telephone Number : 407-227-0359
Fax Number : 774-209-4355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 06/25/2025

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