Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Myriam Vicioso

Individual provider Physical Therapist · NPI 1124240007

Mrs. Myriam Vicioso is a Physical Therapist in Bushnell, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
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Practice location Address checks out

124 S Florida St
Bushnell, FL 33513-6704
Phone: (352) 793-8661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT11412 (FL)

Record details

NPI number1124240007
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 2, 2007
Last updated in NPPESSeptember 14, 2011

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