Most Relevant Information
Provider Data
| NPI Number: | 1003385824 |
| Provider Name: | DONALD BENIDETO PULZELLO PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 27350 |
Most Important Dates
| Enumeration Date: | 11/21/2018 |
| Last Updated: | 11/21/2018 |
Provider Practice Location
1550 KILLINGSWORTH WAY
THE VILLAGES
FL
321622175
Practice Location Phone/Fax
| Phone: | 3526532232 |
| Fax: |
Provider Mailing Location
5485 E LIVE OAK LN
INVERNESS
FL
344531066
Provider Mailing Phone/Fax
| Phone: | 3522204748 |
| Fax: |