Provider Demographics
NPI:1114199627
Name:JULIUS CUBERO PHYSICAL THERAPY
Entity Type:Organization
Organization Name:JULIUS CUBERO PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:CUBERO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:813-505-1134
Mailing Address - Street 1:27138 FERN GLADE CT
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-8191
Mailing Address - Country:US
Mailing Address - Phone:813-505-1134
Mailing Address - Fax:813-505-1134
Practice Address - Street 1:27138 FERN GLADE CT
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-8191
Practice Address - Country:US
Practice Address - Phone:813-505-1134
Practice Address - Fax:813-505-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8586Medicare PIN