MEDICARE: PILOZZI PHYSICAL THERAPY LLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1811434699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PILOZZI PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	12300 S SHORE BLVD
Second Line	:	STE 102
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6509
Country	:	US
Telephone Number	:	561-389-9812
Fax Number	:

Provider Business Practice Location Address
First Line	:	12300 S SHORE BLVD
Second Line	:	STE 102
City	:	WELLINGTON
State	:	FL
Zip	:	33414-6509
Country	:	US
Telephone Number	:	561-389-9812
Fax Number	:

Authorized Official
Title or Position	:	PT/OWNER
Name	:	ANTHONY PILOZZI
Credential	:	PT
Telephone Number	:	561-389-9812

Provider Enumeration Date	:	01/31/2017
Last Update Date	:	01/31/2017

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