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NPI Code Detail

MEDICARE: SONAL NUNEZ PT, COMT

MEDICARE:   SONAL  NUNEZ  PT, COMT
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 TherapistPT21675FL
2225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT21675OTHERFLLICENSE#

General Provider Information

NPI Number : 1417066069
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONAL NUNEZ PT, COMT
Provider Business Mailing Address
First Line : 2934 BOXWOOD GROVE ROW
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-7287
Country : US
Telephone Number : 813-335-0500
Fax Number :
Provider Business Practice Location Address
First Line : 15310 AMBERLY DR STE 155
Second Line :
City : TAMPA
State : FL
Zip : 33647-1645
Country : US
Telephone Number : 813-971-9351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 08/14/2024

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Directions to “ SONAL NUNEZ PT, COMT” Practice Location

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