MEDICARE: MR. VINCENT ANTHONY FORZANO RPT

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	PT5427	FL

General Provider Information

NPI Number	:	1194913079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VINCENT ANTHONY FORZANO RPT

Provider Business Mailing Address
First Line	:	1631 S FEDERAL HWY
Second Line	:	SUITE 405
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-7536
Country	:	US
Telephone Number	:	954-830-6229
Fax Number	:	958-788-3685

Provider Business Practice Location Address
First Line	:	1631 S FEDERAL HWY
Second Line	:	SUITE 405
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-7536
Country	:	US
Telephone Number	:	954-830-6229
Fax Number	:	958-788-3685

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

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	03/17/2026

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