MEDICARE: LAUREN CIUBA 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

General Provider Information

NPI Number	:	1780513424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN CIUBA PT

Provider Business Mailing Address
First Line	:	5901 E FOWLER AVE STE 100
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33617-2305
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3890 TAMPA RD STE 202
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3677
Country	:	US
Telephone Number	:	727-787-5577
Fax Number	:	727-781-7757

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

Provider Enumeration Date	:	05/18/2026
Last Update Date	:	05/18/2026

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Directions to “ LAUREN CIUBA PT” Practice Location

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