MEDICARE: JOSEPH R ZUCCO PT

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	2818	AR
2	225100000X	Physical Therapist	PT364443	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00277504	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5Y374	OTHER	AR	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1588606073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH R ZUCCO PT

Provider Business Mailing Address
First Line	:	4655 66TH ST N
Second Line	:
City	:	KENNETH CITY
State	:	FL
Zip	:	33709-4827
Country	:	US
Telephone Number	:	727-546-4700
Fax Number	:	727-549-8108

Provider Business Practice Location Address
First Line	:	4655 66TH ST N
Second Line	:
City	:	KENNETH CITY
State	:	FL
Zip	:	33709-4827
Country	:	US
Telephone Number	:	727-546-4700
Fax Number	:	727-549-8108

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

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	12/03/2024

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Directions to “ JOSEPH R ZUCCO PT” Practice Location

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