MEDICARE: FRAN IMBERT PT, DPT, ATC/L

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	38798	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558752345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRAN IMBERT PT, DPT, ATC/L

Provider Business Mailing Address
First Line	:	17080 FOUNTAINSIDE LOOP APT 8111
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33558-5561
Country	:	US
Telephone Number	:	786-295-1821
Fax Number	:	315-493-0105

Provider Business Practice Location Address
First Line	:	20577 AMBERFIELD DR STE 102
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-4323
Country	:	US
Telephone Number	:	813-909-7451
Fax Number	:

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

Provider Enumeration Date	:	02/15/2015
Last Update Date	:	05/12/2025

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