Provider Demographics
NPI:1932318961
Name:LAPORTILLA, CYNTHIA MCGEE (MSPT, LMT)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MCGEE
Last Name:LAPORTILLA
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Gender:F
Credentials:MSPT, LMT
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Mailing Address - Street 1:900 16TH ST
Mailing Address - Street 2:APARTMENT 305
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2628
Mailing Address - Country:US
Mailing Address - Phone:305-532-0766
Mailing Address - Fax:305-532-0766
Practice Address - Street 1:710 W 51ST ST
Practice Address - Street 2:ADVANCED BODY -- WELLNESS FOR LIFE
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2615
Practice Address - Country:US
Practice Address - Phone:305-868-7370
Practice Address - Fax:305-868-6245
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPT-78272251X0800X
FLMA-20936225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Not Answered225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist