MEDICARE: DR. ARTUR GARBIEC 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	PT12964	FL

General Provider Information

NPI Number	:	1720213010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTUR GARBIEC DPT

Provider Business Mailing Address
First Line	:	3730 BAY TREE CT
Second Line	:
City	:	LYNN HAVEN
State	:	FL
Zip	:	32444-5665
Country	:	US
Telephone Number	:	850-248-5182
Fax Number	:

Provider Business Practice Location Address
First Line	:	2931 HWY 77
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32405-4411
Country	:	US
Telephone Number	:	850-769-3398
Fax Number	:

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

Provider Enumeration Date	:	05/15/2009
Last Update Date	:	05/15/2009

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