Stuart W Maccollom in Seminole - Physical Therapist
Stuart W Maccollom - NPI 1609063494
Stuart W Maccollom is a Physical Therapist in Seminole, Florida. Stuart W Maccollom practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stuart W Maccollom is 1609063494. The last update date is 2018-03-02.
Stuart W Maccollom's current location address is 8140 Bayhaven Dr, Seminole, Florida. You can contact this provider via phone number 7275468900 and fax number 7275468940. The mailing address for Stuart W Maccollom is 8140 Bayhaven Dr, Seminole, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stuart W Maccollom |
|---|---|
| Address | 8140 Bayhaven Dr, Seminole, Florida |
| Phone Number | 7275468900 |
| Fax Number | 7275468940 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1609063494 |
|---|---|
| Provider Enumeration Date | 2007-09-26 |
| Last Updated Date | 2018-03-02 |
Provider Mailing Address Detail
| Address | 8140 Bayhaven Dr |
|---|---|
| City | Seminole |
| State | Florida (FL) |
| Post Code | 337763321 |
| Phone Number | 7275468900 |
| Fax Number | 7275468940 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT2912 |
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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 |
|---|---|---|---|
| 10475500 | FL | -- | |
| AI939Y | FL | MEDICARE PTAN |
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What is the unique identifier code issued to Stuart W Maccollom by the Centers for Medicare & Medicaid Services?
The Stuart W Maccollom has been assigned the NPI (National Provider Identifier) 1609063494. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stuart W Maccollom located?
The Stuart W Maccollom is located at 8140 Bayhaven Dr, Seminole, FL 337763321.
What is the Stuart W Maccollom's specialty and taxonomy code?
The Stuart W Maccollom's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609063494 to Stuart W Maccollom?
The Centers for Medicare & Medicaid Services originally issued the 1609063494 to Stuart W Maccollom on 2007-09-26.
When was the information related to Stuart W Maccollom most recently updated or refreshed?
The details pertaining to the Stuart W Maccollom, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-03-02.
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