MEDICARE: DR. ARNULFO PINEDA PAMAN PT, DPT

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	PT8393	FL

General Provider Information

NPI Number	:	1659103398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNULFO PINEDA PAMAN PT, DPT

Provider Business Mailing Address
First Line	:	11428 GEORGETOWN CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33635-1561
Country	:	US
Telephone Number	:	813-833-9833
Fax Number	:	813-855-2971

Provider Business Practice Location Address
First Line	:	11428 GEORGETOWN CIR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33635-1561
Country	:	US
Telephone Number	:	813-833-9833
Fax Number	:	813-855-2971

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

Provider Enumeration Date	:	08/19/2024
Last Update Date	:	08/19/2024

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