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NPI Code Detail

MEDICARE: STEVEN MARIANO KIAG P.T.

MEDICARE: STEVEN MARIANO KIAG P.T.
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
1225100000XPhysical TherapistPT 7410FL

General Provider Information

NPI Number : 1366595498
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN MARIANO KIAG P.T.
Provider Business Mailing Address
First Line : 40 66TH ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33710-8408
Country : US
Telephone Number : 727-345-3346
Fax Number : 727-345-3595
Provider Business Practice Location Address
First Line : 5535 PARK ST N
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33709-6309
Country : US
Telephone Number : 727-209-0579
Fax Number : 727-209-0580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2007
Last Update Date : 09/12/2013

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