Provider Demographics
NPI:1942546999
Name:MEDICAL THERAPEUTICS, INC
Entity Type:Organization
Organization Name:MEDICAL THERAPEUTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:AP, OMD
Authorized Official - Phone:954-783-2025
Mailing Address - Street 1:540 E MCNAB RD
Mailing Address - Street 2:#D
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-9354
Mailing Address - Country:US
Mailing Address - Phone:954-783-2025
Mailing Address - Fax:
Practice Address - Street 1:540 E MCNAB RD
Practice Address - Street 2:#D
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-9354
Practice Address - Country:US
Practice Address - Phone:954-783-2025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty