Provider Demographics
NPI:1124047790
Name:MAULORICO, ANTHONY JOSEPH (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:MAULORICO
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:10902 MAY APPLE CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7901
Mailing Address - Country:US
Mailing Address - Phone:813-996-0616
Mailing Address - Fax:
Practice Address - Street 1:7509 STATE ROAD 52
Practice Address - Street 2:SUMMIT MEDICAL CENTER - SUITE 130
Practice Address - City:BAYONET POINT
Practice Address - State:FL
Practice Address - Zip Code:34667-6787
Practice Address - Country:US
Practice Address - Phone:727-862-5939
Practice Address - Fax:727-862-7127
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT 18181225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist