MEDICARE: MRS. MARY ANNA BEHRINGER L.M.T

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	174400000X	Specialist	MA18348	FL

General Provider Information

NPI Number	:	1235272584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARY ANNA BEHRINGER L.M.T

Provider Business Mailing Address
First Line	:	2821 E COMMERCIAL BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-4216
Country	:	US
Telephone Number	:	954-776-1902
Fax Number	:	954-776-9130

Provider Business Practice Location Address
First Line	:	2821 E COMMERCIAL BLVD
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-4216
Country	:	US
Telephone Number	:	954-776-1902
Fax Number	:	954-776-9130

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	07/08/2007

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