MEDICARE: DR. CRAIG AMIDON FOX DPT, NCS

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	24731	FL

General Provider Information

NPI Number	:	1295206779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRAIG AMIDON FOX DPT, NCS

Provider Business Mailing Address
First Line	:	2418 NW 63RD TER
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-6385
Country	:	US
Telephone Number	:	734-846-1994
Fax Number	:

Provider Business Practice Location Address
First Line	:	2418 NW 63RD TER
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32606-6385
Country	:	US
Telephone Number	:	734-846-1994
Fax Number	:

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

Provider Enumeration Date	:	12/10/2018
Last Update Date	:	01/05/2026

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