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NPI Code Detail

MEDICARE: ERIC PAUL SPECHT PT

MEDICARE: ERIC PAUL SPECHT PT
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
12251X0800XOrthopedic Physical TherapistPT 18358FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT 18358OTHERFLFL STATE LIC. #

General Provider Information

NPI Number : 1356301030
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC PAUL SPECHT PT
Provider Business Mailing Address
First Line : 5165 ADANSON ST
Second Line :
City : ORLANDO
State : FL
Zip : 32804-1331
Country : US
Telephone Number : 407-303-9603
Fax Number : 407-303-8031
Provider Business Practice Location Address
First Line : 5165 ADANSON ST
Second Line :
City : ORLANDO
State : FL
Zip : 32804-1331
Country : US
Telephone Number : 407-303-9603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2006
Last Update Date : 04/24/2017

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Directions to “ ERIC PAUL SPECHT PT” Practice Location

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