MEDICARE: MISS DANIELLA BEFFA LMT

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	172M00000X	Mechanotherapist	MA44166	FL

General Provider Information

NPI Number	:	1154524452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DANIELLA BEFFA LMT

Provider Business Mailing Address
First Line	:	1821 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-7861
Country	:	US
Telephone Number	:	954-643-1733
Fax Number	:

Provider Business Practice Location Address
First Line	:	1821 CORAL RIDGE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-7861
Country	:	US
Telephone Number	:	954-643-1733
Fax Number	:

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

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	10/01/2009

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