Provider Demographics
NPI:1861494684
Name:BIAGGI, WILLIAM JR (DPT, ATC, LAT)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:BIAGGI
Suffix:JR
Gender:M
Credentials:DPT, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12780 WATERFORD LAKES PKWY
Mailing Address - Street 2:SUITE 115
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-4500
Mailing Address - Country:US
Mailing Address - Phone:407-207-7188
Mailing Address - Fax:407-207-7103
Practice Address - Street 1:12780 WATERFORD LAKES PKWY
Practice Address - Street 2:SUITE 115
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-4500
Practice Address - Country:US
Practice Address - Phone:407-207-7188
Practice Address - Fax:407-207-7103
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL 4832255A2300X
FLPT29780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer