Healthcare Provider Details

I. General information

NPI: 1588311054
Provider Name (Legal Business Name): JOY R IURATO CPO/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2022
Last Update Date: 03/04/2022
Certification Date: 03/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 GORHAM CT
TAMPA FL
33624-2571
US

IV. Provider business mailing address

5201 GORHAM CT
TAMPA FL
33624-2571
US

V. Phone/Fax

Practice location:
  • Phone: 321-330-6237
  • Fax:
Mailing address:
  • Phone: 813-842-2392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberCPO04718
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberCPO04718
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: