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NPI Code Detail

MEDICARE: CODY MARFIZO PT, DPT

MEDICARE: CODY MARFIZO 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
1225100000XPhysical Therapist36053FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750992830
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY MARFIZO PT, DPT
Provider Business Mailing Address
First Line : 1402 SE 16TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-3819
Country : US
Telephone Number : 239-772-3363
Fax Number :
Provider Business Practice Location Address
First Line : 1402 SE 16TH PL
Second Line :
City : CAPE CORAL
State : FL
Zip : 33990-3819
Country : US
Telephone Number : 239-772-3363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2020
Last Update Date : 08/12/2020

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Directions to “ CODY MARFIZO PT, DPT” Practice Location

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