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NPI Code Detail

MEDICARE: SANDY L. FORONDA

MEDICARE:   SANDY L. FORONDA
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 Therapist11100FL

General Provider Information

NPI Number : 1386350791
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDY L. FORONDA
Provider Business Mailing Address
First Line : 8502 KINGS RAIL WAY
Second Line :
City : TAMPA
State : FL
Zip : 33647-2491
Country : US
Telephone Number : 813-843-8646
Fax Number :
Provider Business Practice Location Address
First Line : 2200 LIVINGSTON RD
Second Line :
City : LAND O LAKES
State : FL
Zip : 34639-3416
Country : US
Telephone Number : 813-563-1151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2023
Last Update Date : 01/30/2023

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Directions to “ SANDY L. FORONDA ” Practice Location

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