Provider Demographics
NPI:1659680072
Name:CIMAFRANCA, ARTURO MADRONA JR
Entity Type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:MADRONA
Last Name:CIMAFRANCA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 ST. GEORGES RD APT 202A BERMUDA ESTATES
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174
Mailing Address - Country:US
Mailing Address - Phone:347-985-5364
Mailing Address - Fax:
Practice Address - Street 1:941 VILLAGE TRAIL
Practice Address - Street 2:COUNTRY SIDE LAKES
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127
Practice Address - Country:US
Practice Address - Phone:347-985-5364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031362-1225100000X
FLPT25266225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist