MEDICARE: MS. SUZANNE MICHELLE ANSCHUTZ M.P.T

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	PT19146	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891874970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SUZANNE MICHELLE ANSCHUTZ M.P.T

Provider Business Mailing Address
First Line	:	8115 SW 184TH ST
Second Line	:
City	:	PALMETTO BAY
State	:	FL
Zip	:	33157-7415
Country	:	US
Telephone Number	:	305-448-0146
Fax Number	:	305-448-0147

Provider Business Practice Location Address
First Line	:	1500 S DOUGLAS RD
Second Line	:	SUITE 210
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-4108
Country	:	US
Telephone Number	:	305-448-0146
Fax Number	:

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	10/23/2012

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