MEDICARE: JOEL PUNG RPT

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	PT11721	FL

General Provider Information

NPI Number	:	1336419282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL PUNG RPT

Provider Business Mailing Address
First Line	:	2825 TERRA CEIA BAY BLVD
Second Line	:	# 1702
City	:	PALMETTO
State	:	FL
Zip	:	34221-5989
Country	:	US
Telephone Number	:	941-447-7274
Fax Number	:

Provider Business Practice Location Address
First Line	:	2825 TERRA CEIA BAY BLVD
Second Line	:	# 1702
City	:	PALMETTO
State	:	FL
Zip	:	34221-5989
Country	:	US
Telephone Number	:	941-447-7274
Fax Number	:

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

Provider Enumeration Date	:	01/10/2012
Last Update Date	:	04/28/2016

Similar Medicare Providers

1649119157 — HCA HEALTH SERVICES OF FLORIDA, INC.
Practice Location Address:

902 10TH ST E
PALMETTO, FL
34221-4122

Practice Phone: 941-981-6834
Practice Fax:

1932049384 — SEE CLEARLY FLORIDA
Practice Location Address:

4919 96TH ST E
PALMETTO, FL
34221-1225

Practice Phone: 937-369-7319
Practice Fax:

1487312476 — VICTORIA DANIELS PTA
Practice Location Address:

3311 97TH LN E
PALMETTO, FL
34221-8012

Practice Phone: 941-224-2346
Practice Fax:

1689350365 — EVOLVE COUNSELING SERVICES LLC
Practice Location Address:

2304 28TH AVE E
PALMETTO, FL
34221-1242

Practice Phone: 347-797-8147
Practice Fax:

1013863117 — DIANNA RUSSO
Practice Location Address:

1007 10TH AVE W
PALMETTO, FL
34221-3723

Practice Phone: 912-201-8000
Practice Fax:

1346197753 — JULIA ANN LENIZ
Practice Location Address:

116 12TH AVE E
PALMETTO, FL
34221-4265

Practice Phone: 941-920-5384
Practice Fax:

Directions to “ JOEL PUNG RPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.