MEDICARE: MIAMI PHYSICAL THERAPY STAFFING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency		FL

General Provider Information

NPI Number	:	1023242856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI PHYSICAL THERAPY STAFFING

Provider Business Mailing Address
First Line	:	2016 BAY DR APT 905
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4422
Country	:	US
Telephone Number	:
Fax Number	:	305-428-2698

Provider Business Practice Location Address
First Line	:	2016 BAY DR APT 905
Second Line	:
City	:	MIAMI BEACH
State	:	FL
Zip	:	33141-4422
Country	:	US
Telephone Number	:	305-300-9454
Fax Number	:	305-428-2698

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PEDRO GONZALEZ
Credential	:
Telephone Number	:	786-704-6701

Provider Enumeration Date	:	05/07/2009
Last Update Date	:	05/07/2009

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Directions to “MIAMI PHYSICAL THERAPY STAFFING ” Practice Location

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