MEDICARE: LAUDERHILL PHYSICAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center		FL

General Provider Information

NPI Number	:	1043263197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAUDERHILL PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	7175 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1050
Country	:	US
Telephone Number	:	954-572-0777
Fax Number	:

Provider Business Practice Location Address
First Line	:	7175 W OAKLAND PARK BLVD
Second Line	:
City	:	LAUDERHILL
State	:	FL
Zip	:	33313-1050
Country	:	US
Telephone Number	:	954-572-0777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CRAIG PIAZZA
Credential	:	PHYSICAL THERAPIST
Telephone Number	:	954-572-0777

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/21/2022

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