Healthcare Provider Details

I. General information

NPI: 1043428303
Provider Name (Legal Business Name): AMEET KARIA P.T., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2007
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2890 SW 73RD WAY APT 1304
DAVIE FL
33314-1018
US

IV. Provider business mailing address

2890 SW 73RD WAY APT 1304
DAVIE FL
33314-1018
US

V. Phone/Fax

Practice location:
  • Phone: 954-649-3120
  • Fax:
Mailing address:
  • Phone: 954-649-3120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number5501012255
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number5501012255
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5501012255
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT 22595
License Number StateFL
# 5
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 22595
License Number StateFL

VIII. Authorized Official

Name: MR. AMEET KARIA
Title or Position: PRESIDENT
Credential: P.T.
Phone: 954-649-3120