| Doctor Name: | MR. RICHARD ANTHONY MAURO |
| NPI Number: | 1386817542 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT009292 |
| Business Practice Address: | 19104 Cypress Green Dr Lutz, FL - 335589757 |
| Business Phone Number: | 8135978985 |
| Business Fax Number: | 8134368700 |
| Mailing Address: | 19104 Cypress Green Dr, LUTZ |
| State: | FL |
| Postal Code: | 335589757 |
| Phone Number: | 8135978985 |
| Fax Number: | 8134368700 |
| NPI Enumeration Date: | 04/09/2008 |
| NPI Last Update Date: | 05/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT009292 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |