MEDICARE: JUSTINE BOYCE

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	PT30949	FL

General Provider Information

NPI Number	:	1760848907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTINE BOYCE

Provider Business Mailing Address
First Line	:	15907 NW 14TH CT
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33028-1633
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4756 N FEDERAL HWY
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-6553
Country	:	US
Telephone Number	:	954-946-8877
Fax Number	:

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

Provider Enumeration Date	:	01/04/2016
Last Update Date	:	01/04/2016

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Directions to “ JUSTINE BOYCE ” Practice Location

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