Individual ProviderJoseph MaisanoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3901 University Blvd S, Jacksonville, FL 32216-4312(904) 345-7319PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Maisano does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1205536273Provider TypeIndividualFull NameMaisano, JosephTitleDr.CredentialDPTGenderMaleSole ProprietorNoEnumeration Date3/7/2023Last Updated3/7/2023Contact InformationPractice LocationPractice Address3901 University Blvd S, Jacksonville, FL 32216-4312Phone(904) 345-7319FaxUnlisted FaxMailing LocationMailing Address4090 Hodges Blvd Apt 1108, Jacksonville, FL 32224-4212PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT39929Florida