MEDICARE: DR. ALTON DEMARIO HOWARD P.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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1598934614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALTON DEMARIO HOWARD P.T.

Provider Business Mailing Address
First Line	:	4137 CASCADA CIR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-8516
Country	:	US
Telephone Number	:	954-858-6589
Fax Number	:

Provider Business Practice Location Address
First Line	:	4137 CASCADA CIR
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-8516
Country	:	US
Telephone Number	:	954-858-6589
Fax Number	:

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

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	04/07/2022

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