Provider Demographics
NPI:1437165347
Name:SIMAN-TOV, KERRY S (PT)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:S
Last Name:SIMAN-TOV
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:PO BOX 813668
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33081-3668
Mailing Address - Country:US
Mailing Address - Phone:754-217-4188
Mailing Address - Fax:
Practice Address - Street 1:2450 HOLLYWOOD BLVD STE 301B
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6642
Practice Address - Country:US
Practice Address - Phone:754-217-4188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6336225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU1833AMedicare ID - Type Unspecified