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NPI Code Detail

MEDICARE: MR. ALVIN ANGELO JUSTINIANI VILLARANTE PT

MEDICARE: MR. ALVIN ANGELO JUSTINIANI VILLARANTE 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 TherapistRPT 11325FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT 11325OTHERFLPT

General Provider Information

NPI Number : 1942358155
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALVIN ANGELO JUSTINIANI VILLARANTE PT
Provider Business Mailing Address
First Line : 6305 CORTEZ RD W
Second Line :
City : BRADENTON
State : FL
Zip : 34210-2604
Country : US
Telephone Number : 941-761-3499
Fax Number : 941-567-1812
Provider Business Practice Location Address
First Line : 6305 CORTEZ RD W
Second Line :
City : BRADENTON
State : FL
Zip : 34210-2604
Country : US
Telephone Number : 941-761-3499
Fax Number : 941-567-1812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 01/10/2012

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