MEDICARE: JEFFREY CRAIG HORWITZ 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	PT5340	FL

General Provider Information

NPI Number	:	1356528368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY CRAIG HORWITZ P.T.

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

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

Provider Enumeration Date	:	01/22/2008
Last Update Date	:	01/22/2008

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