MEDICARE: DANIEL FINE DPT

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	225100000X	Physical Therapist	PT37337	FL

General Provider Information

NPI Number	:	1134896483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL FINE DPT

Provider Business Mailing Address
First Line	:	2250 SW 71ST TER
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33317-7136
Country	:	US
Telephone Number	:	954-806-5896
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 SW 71ST TER
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33317-7136
Country	:	US
Telephone Number	:	954-806-5896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2021
Last Update Date	:	08/25/2021

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Directions to “ DANIEL FINE DPT” Practice Location

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