MEDICARE: MS. MARIA CRESENCIA SAYAS-ZMIRSKA PT

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	PT 007870	FL

General Provider Information

NPI Number	:	1669662276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIA CRESENCIA SAYAS-ZMIRSKA PT

Provider Business Mailing Address
First Line	:	3811 SW 52ND ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-8207
Country	:	US
Telephone Number	:	954-967-5624
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 SW 52ND ST
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-8207
Country	:	US
Telephone Number	:	954-967-5624
Fax Number	:

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

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	11/14/2010

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