Provider Demographics
NPI:1558752345
Name:IMBERT, FRAN (PT, DPT, ATC/L)
Entity type:Individual
Prefix:
First Name:FRAN
Middle Name:
Last Name:IMBERT
Suffix:
Gender:F
Credentials:PT, DPT, ATC/L
Other - Prefix:
Other - First Name:FRAN
Other - Middle Name:
Other - Last Name:GARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17080 FOUNTAINSIDE LOOP APT 8111
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-5561
Mailing Address - Country:US
Mailing Address - Phone:786-295-1821
Mailing Address - Fax:315-493-0105
Practice Address - Street 1:20577 AMBERFIELD DR STE 102
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-4323
Practice Address - Country:US
Practice Address - Phone:813-909-7451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-15
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL38798225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist