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NPI Code Detail

MEDICARE: JENNIFER NYCZ

MEDICARE:   JENNIFER  NYCZ
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 TherapistPTA27453FL

General Provider Information

NPI Number : 1548050651
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER NYCZ
Provider Business Mailing Address
First Line : 8809 WILLOW COVE LN
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-1171
Country : US
Telephone Number : 561-860-0736
Fax Number :
Provider Business Practice Location Address
First Line : 8809 WILLOW COVE LN
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-1171
Country : US
Telephone Number : 561-860-0736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2025
Last Update Date : 05/12/2025

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Directions to “ JENNIFER NYCZ ” Practice Location

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