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NPI Code Detail

MEDICARE: MR. PATRICK STEPHEN PABIAN PT

MEDICARE: MR. PATRICK STEPHEN PABIAN 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 TherapistPT19919FL

General Provider Information

NPI Number : 1891897732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PATRICK STEPHEN PABIAN PT
Provider Business Mailing Address
First Line : 12780 WATERFORD LAKES PKWY
Second Line : SUITE 115
City : ORLANDO
State : FL
Zip : 32828-4500
Country : US
Telephone Number : 407-207-7188
Fax Number : 407-207-7103
Provider Business Practice Location Address
First Line : 12780 WATERFORD LAKES PKWY
Second Line : SUITE 115
City : ORLANDO
State : FL
Zip : 32828-4500
Country : US
Telephone Number : 407-207-7188
Fax Number : 407-207-7103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 07/08/2007

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