Provider Demographics
NPI:1841351681
Name:TAFFEL, CINDY B (PT)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:B
Last Name:TAFFEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 E ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-6751
Mailing Address - Country:US
Mailing Address - Phone:954-785-2734
Mailing Address - Fax:965-785-2735
Practice Address - Street 1:1624 E ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6751
Practice Address - Country:US
Practice Address - Phone:954-785-2734
Practice Address - Fax:965-785-2735
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 14529225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY7752AMedicare ID - Type UnspecifiedINDIVIDUAL NUMBER