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NPI Code Detail

MEDICARE: PHYSICAL THERAPY NOW MIDTOWN

MEDICARE: PHYSICAL THERAPY NOW MIDTOWN
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
1225100000XPhysical TherapistPT20304FL
2261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1942703244
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL THERAPY NOW MIDTOWN
Provider Business Mailing Address
First Line : 3288 NW 36TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33142-5036
Country : US
Telephone Number : 305-570-1666
Fax Number : 305-203-0546
Provider Business Practice Location Address
First Line : 3288 NW 36TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33142-5036
Country : US
Telephone Number : 305-570-1666
Fax Number : 305-203-0546
Authorized Official
Title or Position : BILLING/CREDENTIALING MANAGER
Name : MS. DONNA LEA FONDA
Credential :
Telephone Number : 305-517-1219
Provider Enumeration Date : 03/13/2018
Last Update Date : 03/13/2018

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Directions to “PHYSICAL THERAPY NOW MIDTOWN ” Practice Location

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