MEDICARE: MADHURA PALANDE

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
1	225100000X	Physical Therapist	PT35410	FL

General Provider Information

NPI Number	:	1033655204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADHURA PALANDE

Provider Business Mailing Address
First Line	:	2160 GOLDEN GATE BLVD W
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34120-1858
Country	:	US
Telephone Number	:	409-828-1192
Fax Number	:

Provider Business Practice Location Address
First Line	:	2160 GOLDEN GATE BLVD W
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34120-1858
Country	:	US
Telephone Number	:	409-828-1192
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2017
Last Update Date	:	06/04/2021

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Directions to “ MADHURA PALANDE ” Practice Location

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