MEDICARE: RODOLFO MADURO

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT17781	OTHER	FL	LICENSE#

General Provider Information

NPI Number	:	1356451207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODOLFO MADURO

Provider Business Mailing Address
First Line	:	3804 DOGTROT ST
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-2063
Country	:	US
Telephone Number	:	727-376-8893
Fax Number	:

Provider Business Practice Location Address
First Line	:	4107 N HIMES AVE
Second Line	:	STE 100
City	:	TAMPA
State	:	FL
Zip	:	33607-6655
Country	:	US
Telephone Number	:	813-874-1009
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1336539030 — SPORTS AND ORTHOPEDIC REHABILITATION SERVICES, INC.
Practice Location Address:

4107 N HIMES AVE , STE 100
TAMPA, FL
33607-6655

Practice Phone: 813-874-1009
Practice Fax: 813-872-6717

1447458468 — DOUGLAS STEPHEN NOEL PT
Practice Location Address:

4107 N HIMES AVE , SUITE 100
TAMPA, FL
33607-6655

Practice Phone: 813-874-1009
Practice Fax: 813-872-6717

1689831646 — CHEMAINE ANNE CRANE MOTR/L, DPT
Practice Location Address:

4107 N HIMES AVE , SUITE 100
TAMPA, FL
33607-6655

Practice Phone: 904-687-4705
Practice Fax:

1780035881 — DR. ELISABETH MARIE RUSSELL PT, DPT
Practice Location Address:

4107 N HIMES AVE , STE 110
TAMPA, FL
33607-6655

Practice Phone: 813-874-1009
Practice Fax: 813-872-6717

1295287878 — CAREATC-CITY OF TAMPA POPOV
Practice Location Address:

4107 N HIMES AVE , SUITE 101
TAMPA, FL
33607-6655

Practice Phone: 800-993-8244
Practice Fax:

1659662567 — DR. HUY QUOC NGUYEN M.D.
Practice Location Address:

3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL
33607-6307

Practice Phone: 813-870-4015
Practice Fax: 813-605-6269

Directions to “ RODOLFO MADURO ” 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.