Provider Demographics
NPI:1780932533
Name:CARE PHYSICAL THERAPY ASSOCIATES OF BROWARD LLC
Entity type:Organization
Organization Name:CARE PHYSICAL THERAPY ASSOCIATES OF BROWARD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALCIDES
Authorized Official - Middle Name:LIZARDI
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:954-586-8079
Mailing Address - Street 1:5576 WEST SAMPLE ROAD
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3423
Mailing Address - Country:US
Mailing Address - Phone:954-586-8073
Mailing Address - Fax:954-586-8600
Practice Address - Street 1:5576 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33073-3423
Practice Address - Country:US
Practice Address - Phone:954-586-8073
Practice Address - Fax:954-586-8600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty