Myriam Vicioso in Bushnell - Physical Therapist
Myriam Vicioso - NPI 1124240007
Myriam Vicioso is a Physical Therapist in Bushnell, Florida. Myriam Vicioso practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Myriam Vicioso is 1124240007. The last update date is 2011-09-14.
Myriam Vicioso's current location address is 124 S Florida St, Bushnell, Florida. You can contact this provider via phone number 3527938661. The mailing address for Myriam Vicioso is 124 S Florida St, Bushnell, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myriam Vicioso |
|---|---|
| Address | 124 S Florida St, Bushnell, Florida |
| Phone Number | 3527938661 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124240007 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2011-09-14 |
Provider Mailing Address Detail
| Address | 124 S Florida St |
|---|---|
| City | Bushnell |
| State | Florida (FL) |
| Post Code | 335136704 |
| Phone Number | 3527938661 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT11412 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 887300300 | FL | -- |
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What is the unique 10-digit identification code issued to Myriam Vicioso by the Centers for Medicare & Medicaid Services?
The Myriam Vicioso has been assigned the NPI (National Provider Identifier) 1124240007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Myriam Vicioso's physical address?
The Myriam Vicioso is physically located at 124 S Florida St, in the city of Bushnell, FL, with the postal code 335136704.
What is Myriam Vicioso's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Myriam Vicioso is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124240007 to Myriam Vicioso?
The Centers for Medicare & Medicaid Services assigned the 1124240007 to Myriam Vicioso on 2007-05-02.
As of what date were the Myriam Vicioso's details last updated?
The information pertaining to the Myriam Vicioso, including its address, specialty, and other details, was most recently updated on 2011-09-14.
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