MEDICARE: MR. EMAD ZIADEH PT

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	225100000X	Physical Therapist	43170	FL

General Provider Information

NPI Number	:	1134511058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. EMAD ZIADEH PT

Provider Business Mailing Address
First Line	:	1844 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6031
Country	:	US
Telephone Number	:	954-255-1515
Fax Number	:

Provider Business Practice Location Address
First Line	:	1844 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6031
Country	:	US
Telephone Number	:	954-255-1515
Fax Number	:	954-255-1445

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2015
Last Update Date	:	08/28/2025

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