Nicholas Palumbo, PT | |
17270 Se 109th Terrace Rd, Summerfield, FL 34491-9015 | |
(352) 336-6000 | |
Not Available |
Full Name | Nicholas Palumbo |
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Gender | Male |
Speciality | Physical Therapist |
Location | 17270 Se 109th Terrace Rd, Summerfield, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730879107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT40150 (Florida) | Primary |
Provider Name | The Orthopaedic Institute, Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740373547 PECOS PAC ID: 2860385242 Enrollment ID: O20040209000128 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Palumbo, PT 4500 Newberry Rd, Gainesville, FL 32607-2245 Ph: (352) 336-0000 | Nicholas Palumbo, PT 17270 Se 109th Terrace Rd, Summerfield, FL 34491-9015 Ph: (352) 336-6000 |
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