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General NPI Number Information
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NPI Number | 1235244575
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Entity Type | Organization
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Legal Business Name | FLORIDA OCCUPATIONAL PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 3405 NW 9TH AVE SUITE 1207
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-5943
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Country | US
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Telephone | 954-390-7245
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Fax | 954-390-6167
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Provider Business Mailing Address
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Address Line | 3405 NW 9TH AVE SUITE 1207
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-5943
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Country | US
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Telephone | 954-390-7245
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Fax | 954-390-6167
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY CRAIG HORWITZ
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Credential | P.T.
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Telephone | 954-390-7245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 5340
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License Number State | FL
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