MEDICARE: DR. STEPHEN J SYLVESTER P.T.

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	PT5247	FL

General Provider Information

NPI Number	:	1346494648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN J SYLVESTER P.T.

Provider Business Mailing Address
First Line	:	5801 S OLIVE AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33405-4155
Country	:	US
Telephone Number	:	561-346-1773
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 S FEDERAL HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-3837
Country	:	US
Telephone Number	:	561-346-1773
Fax Number	:

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

Provider Enumeration Date	:	11/13/2008
Last Update Date	:	11/13/2008

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