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NPI Code Detail

MEDICARE: MR. MICHAEL A CANIZIO MA

MEDICARE: MR. MICHAEL A CANIZIO MA
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
1225700000XMassage TherapistMA20611FL

General Provider Information

NPI Number : 1932299864
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL A CANIZIO MA
Provider Business Mailing Address
First Line : 1310 SEVEN SPRINGS BLVD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-5643
Country : US
Telephone Number : 727-372-9500
Fax Number : 727-372-1268
Provider Business Practice Location Address
First Line : 1310 SEVEN SPRINGS BLVD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-5643
Country : US
Telephone Number : 727-372-9500
Fax Number : 727-372-1268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 07/08/2007

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Directions to “ MR. MICHAEL A CANIZIO MA” Practice Location

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