MEDICARE: PRECISION PERFORMANCE PHYSICAL THERAPY & REHABILITATION OF FLORIDA, PA

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	:	1861555898
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION PERFORMANCE PHYSICAL THERAPY & REHABILITATION OF FLORIDA, PA

Provider Business Mailing Address
First Line	:	6101 WEBB RD STE 109
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-2859
Country	:	US
Telephone Number	:	813-901-0082
Fax Number	:

Provider Business Practice Location Address
First Line	:	6101 WEBB RD STE 109
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-2859
Country	:	US
Telephone Number	:	813-901-0082
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	CHRISTOPHER J CORBO
Credential	:	LPT
Telephone Number	:	813-901-0082

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	08/22/2020

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