Provider Demographics
NPI:1003073271
Name:DUMON, ARMISTICE PEDROZA (PT)
Entity Type:Individual
Prefix:MR
First Name:ARMISTICE
Middle Name:PEDROZA
Last Name:DUMON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4422 COMMERCIAL WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1966
Mailing Address - Country:US
Mailing Address - Phone:352-592-7647
Mailing Address - Fax:352-596-3418
Practice Address - Street 1:4422 COMMERCIAL WAY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-1966
Practice Address - Country:US
Practice Address - Phone:352-592-7647
Practice Address - Fax:352-596-3418
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT20620225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist