Provider Demographics
NPI:1356771281
Name:ELDAIR, MAGDI SABU (DPT)
Entity type:Individual
Prefix:MR
First Name:MAGDI
Middle Name:SABU
Last Name:ELDAIR
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8095 NW 8TH ST APT 210
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2817
Mailing Address - Country:US
Mailing Address - Phone:305-804-3273
Mailing Address - Fax:
Practice Address - Street 1:8095 NW 8TH ST APT 210
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2817
Practice Address - Country:US
Practice Address - Phone:305-804-3273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 28777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist