MEDICARE: CLAIR PAPPAS

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	2251X0800X	Orthopedic Physical Therapist	PT32512	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT32512	OTHER	FL	AETNA, CIGNA, UNITED HEALTH CARE, FLORIDA BLUE

General Provider Information

NPI Number	:	1578091203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAIR PAPPAS

Provider Business Mailing Address
First Line	:	3111 W BOYNTON BEACH BLVD STE 200
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4613
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3111 W BOYNTON BEACH BLVD STE 200
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4613
Country	:	US
Telephone Number	:	561-742-3283
Fax Number	:

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

Provider Enumeration Date	:	05/25/2017
Last Update Date	:	05/25/2017

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Directions to “ CLAIR PAPPAS ” Practice Location

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