Organization
ER & DC MCPHERSON HOLDINGS LLC
Active
Other names
Physical Therapy Now Plantation
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LEA FONDA (CREDENTIALING MANAGER)
(305) 517-1219
Entity
Organization
Contact information
Practice address
6957 W BROWARD BLVD, PLANTATION, FL 33317-2917
(954) 261-3280
(305) 203-0546
Mailing address
6957 W BROWARD BLVD, PLANTATION, FL 33317-2917
(954) 261-3280
(305) 203-0546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT19324
MEDICAL LICENSE
FL
Enumeration date
04/05/2019
Last updated
04/05/2019
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