MEDICARE: PATRICIA T FUHRMANN LMT

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	225700000X	Massage Therapist	MA30735	FL

General Provider Information

NPI Number	:	1548477375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA T FUHRMANN LMT

Provider Business Mailing Address
First Line	:	100 E KENTUCKY AVE
Second Line	:	# H5
City	:	DELAND
State	:	FL
Zip	:	32724-2375
Country	:	US
Telephone Number	:	352-216-1222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1107 E SILVER SPRINGS BLVD
Second Line	:	#4
City	:	OCALA
State	:	FL
Zip	:	34470-6758
Country	:	US
Telephone Number	:	352-216-1222
Fax Number	:

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	07/08/2007

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