Healthcare Provider Details
I. General information
NPI: 1083262679
Provider Name (Legal Business Name): BRITTANY INERFELD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/28/2019
Last Update Date: 08/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2142 NE 123RD ST
NORTH MIAMI FL
33181-2902
US
IV. Provider business mailing address
10101 E BAY HARBOR DR APT 310
BAY HARBOR ISLANDS FL
33154-1201
US
V. Phone/Fax
- Phone: 305-967-8976
- Fax:
- Phone: 786-797-0725
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT34698 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: