MEDICARE: FLORIDA OCCUPATIONAL PHYSICAL THERAPY, INC.

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	PT 5340	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235244575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLORIDA OCCUPATIONAL PHYSICAL THERAPY, INC.

Provider Business Mailing Address
First Line	:	3405 NW 9TH AVE
Second Line	:	SUITE 1207
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-5943
Country	:	US
Telephone Number	:	954-390-7245
Fax Number	:	954-390-6167

Provider Business Practice Location Address
First Line	:	3405 NW 9TH AVE
Second Line	:	SUITE 1207
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-5943
Country	:	US
Telephone Number	:	954-390-7245
Fax Number	:	954-390-6167

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JEFFREY CRAIG HORWITZ
Credential	:	P.T.
Telephone Number	:	954-390-7245

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	04/29/2008

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