Healthcare Provider Details

I. General information

NPI: 1720142748
Provider Name (Legal Business Name): JAMES FIUMEFREDDO PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6050 CATTLERIDGE BLVD STE 201
SARASOTA FL
34232-6028
US

IV. Provider business mailing address

6050 CATTLERIDGE BLVD STE 201
SARASOTA FL
34232-6028
US

V. Phone/Fax

Practice location:
  • Phone: 941-365-0655
  • Fax: 941-552-7866
Mailing address:
  • Phone: 941-365-0655
  • Fax: 941-552-7866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number16106
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: