Organization
LOGISTICS THERAPY OF BROWARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANELISA PEREZ (MANAGER)
(786) 363-3900
Entity
Organization
Contact information
Practice address
8955 SW 87TH CT STE 110, MIAMI, FL 33176-2264
(786) 363-3900
(305) 630-9654
Mailing address
8955 SW 87TH CT STE 110, MIAMI, FL 33176-2264
(786) 363-3900
(305) 630-9654
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
HCC3962
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-6726
MEDICARE IDENTIFICATION
FL
Enumeration date
10/25/2007
Last updated
12/27/2007
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