Provider Demographics
NPI:1265200844
Name:DA SILVA XAVIER MACH, FRANCIANE (PT)
Entity type:Individual
Prefix:
First Name:FRANCIANE
Middle Name:
Last Name:DA SILVA XAVIER MACH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:FRANCIANE
Other - Middle Name:
Other - Last Name:MACHADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:5851 HOLMBERG RD APT 1424
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4524
Mailing Address - Country:US
Mailing Address - Phone:954-254-7160
Mailing Address - Fax:
Practice Address - Street 1:4324 N FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5208
Practice Address - Country:US
Practice Address - Phone:954-210-4915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT41168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist