MEDICARE: FRANTZ GERDES JR. PT, 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	PT33170	FL

General Provider Information

NPI Number	:	1528570173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANTZ GERDES JR. PT, DPT

Provider Business Mailing Address
First Line	:	3325 HOLLYWOOD BLVD STE 200
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6926
Country	:	US
Telephone Number	:	954-986-2299
Fax Number	:

Provider Business Practice Location Address
First Line	:	3325 HOLLYWOOD BLVD STE 200
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6926
Country	:	US
Telephone Number	:	954-986-2299
Fax Number	:

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

Provider Enumeration Date	:	11/03/2017
Last Update Date	:	11/03/2017

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