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NPI Code Detail

MEDICARE: MR. MICHAEL H WORLEY PTA

MEDICARE:  MR. MICHAEL H WORLEY  PTA
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
1225200000XPhysical Therapy AssistantPTA17433FL

General Provider Information

NPI Number : 1336419027
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL H WORLEY PTA
Provider Business Mailing Address
First Line : 11280 SW 1ST ST
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-8143
Country : US
Telephone Number : 954-812-8747
Fax Number :
Provider Business Practice Location Address
First Line : 11280 SW 1ST ST
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-8143
Country : US
Telephone Number : 954-812-8747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2012
Last Update Date : 01/11/2012

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Directions to “ MR. MICHAEL H WORLEY PTA” Practice Location

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