MEDICARE: ADVANCED THERAPEUTICS AND HEALTH CARE 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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1629091699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED THERAPEUTICS AND HEALTH CARE INC

Provider Business Mailing Address
First Line	:	PO BOX 670884
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-0884
Country	:	US
Telephone Number	:	954-721-9201
Fax Number	:	954-721-1551

Provider Business Practice Location Address
First Line	:	7301 N UNIVERSITY DR
Second Line	:	STE 301
City	:	TAMARAC
State	:	FL
Zip	:	33321-2919
Country	:	US
Telephone Number	:	954-721-9201
Fax Number	:	954-721-1551

Authorized Official
Title or Position	:	VP OFFICE MGR
Name	:	MS. IVY NEWMAN
Credential	:
Telephone Number	:	954-721-9201

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	08/18/2011

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Directions to “ADVANCED THERAPEUTICS AND HEALTH CARE INC ” Practice Location

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