MEDICARE: MINAL SARAF

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	PT22509	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT22509	OTHER	FL	FLORIDA LICENSE

General Provider Information

NPI Number	:	1538691662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINAL SARAF

Provider Business Mailing Address
First Line	:	100 WAYMONT CT STE 120
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3412
Country	:	US
Telephone Number	:	407-323-0399
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WAYMONT CT STE 120
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-3412
Country	:	US
Telephone Number	:
Fax Number	:

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

Provider Enumeration Date	:	03/29/2017
Last Update Date	:	01/03/2024

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Directions to “ MINAL SARAF ” Practice Location

Language	Start Address	Practice Location

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