Provider Demographics
NPI:1538591342
Name:LINGAL, ROBERT PATRICK A (, DPT, MS, PT, PTRP)
Entity type:Individual
Prefix:DR
First Name:ROBERT PATRICK
Middle Name:A
Last Name:LINGAL
Suffix:
Gender:M
Credentials:, DPT, MS, PT, PTRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:99 WALL ST STE 1580
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-4301
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1580 SAWGRASS CORPORATE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2860
Practice Address - Country:US
Practice Address - Phone:954-332-4445
Practice Address - Fax:866-422-6431
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2022-09-06
Deactivation Date:2020-12-07
Deactivation Code:
Reactivation Date:2021-03-08
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist