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NPI Code Detail

MEDICARE: MRS. PATRICIA J ANASTASIO II

MEDICARE:  MRS. PATRICIA J ANASTASIO II
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
1225700000XMassage TherapistMA40371FL

General Provider Information

NPI Number : 1427238427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA J ANASTASIO II
Provider Business Mailing Address
First Line : 690 HUNTERS RUN BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33809-6654
Country : US
Telephone Number : 863-670-0335
Fax Number : 863-858-1516
Provider Business Practice Location Address
First Line : 1203 MAYFLOWER DR
Second Line :
City : LAKELAND
State : FL
Zip : 33810-3621
Country : US
Telephone Number : 863-670-0335
Fax Number : 863-858-1516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2007
Last Update Date : 11/07/2007

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Directions to “ MRS. PATRICIA J ANASTASIO II ” Practice Location

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