Provider Demographics
NPI:1093936353
Name:MADEIRA, ARLINDO ABREU (PT)
Entity Type:Individual
Prefix:
First Name:ARLINDO
Middle Name:ABREU
Last Name:MADEIRA
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 1:11807 ROSSMAYNE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5658
Mailing Address - Country:US
Mailing Address - Phone:813-671-0861
Mailing Address - Fax:813-671-0861
Practice Address - Street 1:11807 ROSSMAYNE DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-5658
Practice Address - Country:US
Practice Address - Phone:813-671-0861
Practice Address - Fax:813-671-0861
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT8946225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist