MEDICARE: MR. FRANK MUSUMECI 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	174400000X	Specialist	PT5311	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y913E	OTHER	FL	BCBS FACILITY PIN

General Provider Information

NPI Number	:	1841411329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANK MUSUMECI P.T.

Provider Business Mailing Address
First Line	:	18690 NW 2 AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-4508
Country	:	US
Telephone Number	:	305-652-2005
Fax Number	:	305-652-1741

Provider Business Practice Location Address
First Line	:	18690 NW 2 AVE
Second Line	:
City	:	MIAMI GARDENS
State	:	FL
Zip	:	33169-4508
Country	:	US
Telephone Number	:	305-652-2005
Fax Number	:	305-652-1741

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

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/09/2007

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