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NPI Code Detail

MEDICARE: HUMBERTO LOZANO PT

MEDICARE:   HUMBERTO  LOZANO  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
1225100000XPhysical TherapistPT8717FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1BS765OTHERFLGROUP PTAN
21184798126OTHERFLINDIVIDUAL NPI
31245413194OTHERFLGROUP NPI

General Provider Information

NPI Number : 1184798126
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUMBERTO LOZANO PT
Provider Business Mailing Address
First Line : 2237 N COMMERCE PKWY
Second Line : 2
City : WESTON
State : FL
Zip : 33326-3250
Country : US
Telephone Number : 954-888-6650
Fax Number : 954-208-0260
Provider Business Practice Location Address
First Line : 2237 N COMMERCE PKWY
Second Line : 2
City : WESTON
State : FL
Zip : 33326-3250
Country : US
Telephone Number : 954-888-6650
Fax Number : 954-208-0260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 08/21/2012

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Directions to “ HUMBERTO LOZANO PT” Practice Location

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