Healthcare Provider Details

I. General information

NPI: 1942076245
Provider Name (Legal Business Name): BRANDON MUROCH PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 NW 70TH AVE STE A
PLANTATION FL
33317-2349
US

IV. Provider business mailing address

10940 CAMERON CT APT 205
DAVIE FL
33324-4183
US

V. Phone/Fax

Practice location:
  • Phone: 954-741-2221
  • Fax: 954-741-2155
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number41002
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: