MEDICARE: MY FLORIDA 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1447793153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY FLORIDA THERAPY INC

Provider Business Mailing Address
First Line	:	4001 SW 52ND AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-6945
Country	:	US
Telephone Number	:	954-800-5737
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 SW 52ND AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33023-6945
Country	:	US
Telephone Number	:	954-800-5737
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MY FLORIDA THERAPY
Credential	:
Telephone Number	:	954-800-5737

Provider Enumeration Date	:	11/29/2016
Last Update Date	:	12/27/2016

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Directions to “MY FLORIDA THERAPY INC ” Practice Location

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