Provider Demographics
NPI:1144385550
Name:MURDOCCO, ROBERT J (RPT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:MURDOCCO
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 W 41ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3509
Mailing Address - Country:US
Mailing Address - Phone:305-672-2992
Mailing Address - Fax:305-672-2913
Practice Address - Street 1:519 W 41ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3509
Practice Address - Country:US
Practice Address - Phone:305-672-2992
Practice Address - Fax:305-672-2913
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 13318225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY0444ZMedicare ID - Type UnspecifiedPT INDIVIDUAL ID NUMBER