MEDICARE: JEET BHAGU

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	PT43159	FL

General Provider Information

NPI Number	:	1386523454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEET BHAGU

Provider Business Mailing Address
First Line	:	11955 RAGGIO DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-0008
Country	:	US
Telephone Number	:	239-850-5805
Fax Number	:

Provider Business Practice Location Address
First Line	:	10591 VENETO DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-7021
Country	:	US
Telephone Number	:	239-244-3835
Fax Number	:

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

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

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Directions to “ JEET BHAGU ” Practice Location

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