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NPI Code Detail

MEDICARE: DASHLEY GONZALEZ SCIASCIA PTA

MEDICARE:   DASHLEY  GONZALEZ SCIASCIA  PTA
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
1225200000XPhysical Therapy AssistantPTA33785FL

General Provider Information

NPI Number : 1578497194
Entity Type Code : Individual
Provider Name (Legal Business Name) : DASHLEY GONZALEZ SCIASCIA PTA
Provider Business Mailing Address
First Line : 22 AEGEAN AVE
Second Line :
City : AMHERST
State : NY
Zip : 14228-1662
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14155 TOWN LOOP BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32837-6185
Country : US
Telephone Number : 407-541-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ DASHLEY GONZALEZ SCIASCIA PTA” Practice Location

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