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NPI Code Detail

MEDICARE: LIANET MACHADO PTA

MEDICARE:   LIANET  MACHADO  PTA
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
1225200000XPhysical Therapy AssistantPTA23231FL

General Provider Information

NPI Number : 1821532821
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIANET MACHADO PTA
Provider Business Mailing Address
First Line : 14030 SW 39TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33175-6423
Country : US
Telephone Number : 305-728-9168
Fax Number : 188-633-0531
Provider Business Practice Location Address
First Line : 14030 SW 39TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33175-6423
Country : US
Telephone Number : 305-728-9168
Fax Number : 188-633-0531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2016
Last Update Date : 12/09/2016

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Directions to “ LIANET MACHADO PTA” Practice Location

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