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NPI Code Detail

MEDICARE: PEDRO BENJAMIN NAVARRO PT

MEDICARE: PEDRO BENJAMIN NAVARRO 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 TherapistPT24321FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT24321OTHERFLNPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902971138
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEDRO BENJAMIN NAVARRO PT
Provider Business Mailing Address
First Line : 130 HEIGHTS AVE
Second Line :
City : INVERNESS
State : FL
Zip : 34452-4571
Country : US
Telephone Number : 352-419-6570
Fax Number : 888-639-2521
Provider Business Practice Location Address
First Line : 130 HEIGHTS AVE
Second Line :
City : INVERNESS
State : FL
Zip : 34452-4571
Country : US
Telephone Number : 352-419-6570
Fax Number : 888-639-2521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 03/23/2016

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