Provider Demographics
NPI:1407048051
Name:APANOVITCH, ERYN KEFFE (PT)
Entity Type:Individual
Prefix:
First Name:ERYN
Middle Name:KEFFE
Last Name:APANOVITCH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S BISCAYNE BLVD
Mailing Address - Street 2:SUITE: 15-A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2310
Mailing Address - Country:US
Mailing Address - Phone:305-381-6224
Mailing Address - Fax:305-381-6244
Practice Address - Street 1:1172 S DIXIE HWY
Practice Address - Street 2:#530
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2918
Practice Address - Country:US
Practice Address - Phone:305-381-6224
Practice Address - Fax:305-381-6244
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23516225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist