MEDICARE: MISS MARIA ELIZABETH VAN BEMMEL PT

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	PT9683	FL
2	225700000X	Massage Therapist	MA33423	FL

General Provider Information

NPI Number	:	1528002037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARIA ELIZABETH VAN BEMMEL PT

Provider Business Mailing Address
First Line	:	875 LANTANA AVE
Second Line	:
City	:	CLEARWATER BEACH
State	:	FL
Zip	:	33767-1125
Country	:	US
Telephone Number	:	727-422-4971
Fax Number	:

Provider Business Practice Location Address
First Line	:	875 LANTANA AVE
Second Line	:
City	:	CLEARWATER BEACH
State	:	FL
Zip	:	33767-1125
Country	:	US
Telephone Number	:	727-422-4971
Fax Number	:

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	09/11/2025

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