MEDICARE: STEVEN WHITED

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	225200000X	Physical Therapy Assistant	PTA34380	FL

General Provider Information

NPI Number	:	1831053222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN WHITED

Provider Business Mailing Address
First Line	:	2529 LEEWARD WAY
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-1624
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2529 LEEWARD WAY
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-1624
Country	:	US
Telephone Number	:	502-428-9738
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ STEVEN WHITED ” Practice Location

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