Provider Demographics
NPI:1659103398
Name:PAMAN, ARNULFO PINEDA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ARNULFO
Middle Name:PINEDA
Last Name:PAMAN
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11428 GEORGETOWN CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33635-1561
Mailing Address - Country:US
Mailing Address - Phone:813-833-9833
Mailing Address - Fax:813-855-2971
Practice Address - Street 1:11428 GEORGETOWN CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33635-1561
Practice Address - Country:US
Practice Address - Phone:813-833-9833
Practice Address - Fax:813-855-2971
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT8393225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist