Provider Demographics
NPI:1760095087
Name:MONIZ, LAUREN JEAN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:JEAN
Last Name:MONIZ
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16220 SW 282ND ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-1015
Mailing Address - Country:US
Mailing Address - Phone:305-562-2759
Mailing Address - Fax:
Practice Address - Street 1:10300 SUNSET DR STE 153
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3038
Practice Address - Country:US
Practice Address - Phone:786-212-1399
Practice Address - Fax:786-401-6642
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL36204225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist