Provider Demographics
NPI:1942076245
Name:MUROCH, BRANDON (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:
Last Name:MUROCH
Suffix:
Gender:M
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 1:2201 NE 7TH ST
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2874
Mailing Address - Country:US
Mailing Address - Phone:954-668-9081
Mailing Address - Fax:954-668-9081
Practice Address - Street 1:8262 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3715
Practice Address - Country:US
Practice Address - Phone:954-368-4598
Practice Address - Fax:954-530-2369
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL41002225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist