Unknown Individual – Physical Therapist, NPI 1417992173
Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 667795
MIAMI, FL 331669405
Phone: (306) 496-3530
Fax: (305) 593-5788
Type: Mailing
3900, Northwest 79th Avenue, Doral, Miami-Dade County, Florida, 33166, United States
SUITE 531
DORAL, FL 331666556
Phone: (305) 496-3530
Fax: (305) 593-5788
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33166)
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