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NPI Code Detail

MEDICARE: JAMES ADISANO PT

MEDICARE:   JAMES  ADISANO  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
1225100000XPhysical Therapist23036FL

Other Identifiers

General Provider Information

NPI Number : 1861555260
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ADISANO PT
Provider Business Mailing Address
First Line : 692 BEAR CREEK CT
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-3858
Country : US
Telephone Number : 407-542-3250
Fax Number : 407-542-3322
Provider Business Practice Location Address
First Line : 692 BEAR CREEK CT
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-3858
Country : US
Telephone Number : 407-542-3250
Fax Number : 407-542-3322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 02/16/2016

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