Healthcare Provider Details

I. General information

NPI: 1427979855
Provider Name (Legal Business Name): DRAVA PT OF SOUTH FLORIDA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 MIDDLE RIVER DR STE 103B104A
FORT LAUDERDALE FL
33304-3544
US

IV. Provider business mailing address

915 MIDDLE RIVER DR STE 103B104A
FORT LAUDERDALE FL
33304-3544
US

V. Phone/Fax

Practice location:
  • Phone: 412-245-7381
  • Fax: 954-338-5608
Mailing address:
  • Phone: 412-245-7381
  • Fax: 954-338-5608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: EKTA LUND
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 412-245-7381