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NPI Code Detail

MEDICARE: CTR MEDICAL

MEDICARE: CTR MEDICAL
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1437270386
Entity Type Code : Organization
Provider Name (Legal Business Name) : CTR MEDICAL
Provider Business Mailing Address
First Line : 1030 S STATE ROAD 7
Second Line :
City : PLANTATION
State : FL
Zip : 33317-4525
Country : US
Telephone Number : 956-458-1333
Fax Number : 954-316-4666
Provider Business Practice Location Address
First Line : 1030 S STATE ROAD 7
Second Line :
City : PLANTATION
State : FL
Zip : 33317-4525
Country : US
Telephone Number : 956-458-1333
Fax Number : 954-316-4666
Authorized Official
Title or Position : OWNER
Name : CRISTINA POMELLA
Credential :
Telephone Number : 954-581-3333
Provider Enumeration Date : 04/02/2007
Last Update Date : 08/22/2020

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Directions to “CTR MEDICAL ” Practice Location

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