Healthcare Provider Details

I. General information

NPI: 1003073271
Provider Name (Legal Business Name): ARMISTICE PEDROZA DUMON PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4422 COMMERCIAL WAY
SPRING HILL FL
34606-1966
US

IV. Provider business mailing address

4422 COMMERCIAL WAY
SPRING HILL FL
34606-1966
US

V. Phone/Fax

Practice location:
  • Phone: 352-592-7647
  • Fax: 352-596-3418
Mailing address:
  • Phone: 352-592-7647
  • Fax: 352-596-3418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT20620
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: