MEDICARE: RON ZELHOF 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	2251X0800X	Orthopedic Physical Therapist	PT4858	FL

General Provider Information

NPI Number	:	1215132634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RON ZELHOF PT

Provider Business Mailing Address
First Line	:	1012 LUGO AVE
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33156-6325
Country	:	US
Telephone Number	:	786-286-2628
Fax Number	:

Provider Business Practice Location Address
First Line	:	1012 LUGO AVE
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33156-6325
Country	:	US
Telephone Number	:	786-286-2628
Fax Number	:

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

Provider Enumeration Date	:	06/16/2007
Last Update Date	:	07/08/2007

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