Provider Demographics
NPI:1285668533
Name:MARKOSE, ABRAHAM T (RPT)
Entity type:Individual
Prefix:MR
First Name:ABRAHAM
Middle Name:T
Last Name:MARKOSE
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2165
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-2165
Mailing Address - Country:US
Mailing Address - Phone:727-785-8256
Mailing Address - Fax:
Practice Address - Street 1:5004 MILE STRETCH DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34690-4431
Practice Address - Country:US
Practice Address - Phone:727-785-8256
Practice Address - Fax:727-785-8946
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT195822251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic