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NPI Code Detail

MEDICARE: MS. CATHERINE NERISSA AUSTRIA GUMAYAGAY RPT

MEDICARE: MS. CATHERINE NERISSA AUSTRIA GUMAYAGAY RPT
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 Therapist25350FL

General Provider Information

NPI Number : 1922317494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHERINE NERISSA AUSTRIA GUMAYAGAY RPT
Provider Business Mailing Address
First Line : 9393 PARK BLVD
Second Line :
City : SEMINOLE
State : FL
Zip : 33777-4140
Country : US
Telephone Number : 727-575-7955
Fax Number :
Provider Business Practice Location Address
First Line : 9393 PARK BLVD
Second Line :
City : SEMINOLE
State : FL
Zip : 33777-4140
Country : US
Telephone Number : 727-575-7955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2010
Last Update Date : 11/16/2016

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