Micah Owen Marazon, D.P.T.
Physical Therapist in Port Charlotte, FL. Individual provider (NPI-1).
NPI number1124300546
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1124300546
- Entity type
- Individual (NPI-1)
- Name
- Mr. Micah Owen Marazon
- Credential
- D.P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2011
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT25697 | FL | Yes |
Practice location
4130 Tamiami Trl Ste 2Port Charlotte, FL 33952-9207
Phone 877-856-3774
Mailing address
2675 Winkler Ave Fl 2Fort Myers, FL 33901-9342
Phone 877-856-3774 · Fax 239-599-2612
Other practice locations
11930 Fairway Lakes Dr Ste 103-104
Fort Myers, FL 33913-8388
Fort Myers, FL 33913-8388
Phone 239-687-3224 · Fax 239-687-3275
18900 N Tamiami Trl Ste A5
North Fort Myers, FL 33903-7312
North Fort Myers, FL 33903-7312
Phone 239-451-4922 · Fax 239-451-4921
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All 84 Physical Therapist providers in Port Charlotte · All 2,518 providers in Port Charlotte
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