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NPI Code Detail

MEDICARE: NICOLE E KARLESKY

MEDICARE:   NICOLE E KARLESKY
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 TherapistPT33690FL

General Provider Information

NPI Number : 1649744541
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE E KARLESKY
Provider Business Mailing Address
First Line : 3621 PINE OAK CIR APT 106
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-6405
Country : US
Telephone Number : 704-519-6095
Fax Number :
Provider Business Practice Location Address
First Line : 3250 WINKLER AVE
Second Line :
City : FORT MYERS
State : FL
Zip : 33916-9414
Country : US
Telephone Number : 239-939-4993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2019
Last Update Date : 01/14/2019

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Directions to “ NICOLE E KARLESKY ” Practice Location

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