Healthcare Provider Details

I. General information

NPI: 1952225823
Provider Name (Legal Business Name): ISABELLA AGUILAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 SUN CITY CENTER PLZ STE C
SUN CITY CENTER FL
33573-5390
US

IV. Provider business mailing address

78 BAYBERRY CIR
LIVERPOOL NY
13090-2955
US

V. Phone/Fax

Practice location:
  • Phone: 813-634-6022
  • Fax:
Mailing address:
  • Phone: 315-944-7204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT45327
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: