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NPI Code Detail

MEDICARE: BROWARD PHYSICIAN THERAPY CORP

MEDICARE: BROWARD PHYSICIAN THERAPY CORP
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
1208D00000XGeneral Practice Physician
2208100000XPhysical Medicine & Rehabilitation PhysicianFL

General Provider Information

NPI Number : 1225280621
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROWARD PHYSICIAN THERAPY CORP
Provider Business Mailing Address
First Line : 732 S FEDERAL HWY
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-4314
Country : US
Telephone Number : 954-923-6070
Fax Number : 954-923-6070
Provider Business Practice Location Address
First Line : 732 S FEDERAL HWY
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-4314
Country : US
Telephone Number : 954-923-6070
Fax Number : 954-923-6070
Authorized Official
Title or Position : PRESIDENT
Name : OSCAR QUINTERO
Credential :
Telephone Number : 954-923-6070
Provider Enumeration Date : 10/16/2008
Last Update Date : 10/16/2008

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Directions to “BROWARD PHYSICIAN THERAPY CORP ” Practice Location

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