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NPI Code Detail

MEDICARE: MARIA LUCIANO

MEDICARE: MARIA LUCIANO
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 Therapist24323FL

General Provider Information

NPI Number : 1801480801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA LUCIANO
Provider Business Mailing Address
First Line : 11120 SPARKLEBERRY DR
Second Line :
City : FORT MYERS
State : FL
Zip : 33913-8832
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2674 WINKLER AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33901-9361
Country : US
Telephone Number : 239-466-9222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2021
Last Update Date : 02/22/2021

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Directions to “ MARIA LUCIANO ” Practice Location

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