Logistics Therapy of Broward

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

HCC3962 Issued in FL

Legal business name

LOGISTICS THERAPY OF BROWARD

Practice address

1852 N University Drive
Plantation, FL 33322

Phone

(954) 577-3003

Fax

(954) 577-3005

NPI assigned

Jul 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gabriel F Grullon

Title

Administrator

Phone

(954) 577-3003

Specialties & licenses 1

Addresses

Tax ID family

Logistics Therapy of Broward2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Logistics Therapy of Broward

  • Physical Therapy Clinic/Center
  • Plantation, FL
  • NPI 1356355101
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770501264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 N UNIVERSITY DRIVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33322",
            "telephone_number": "954-577-3003",
            "fax_number": "954-577-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 N UNIVERSITY DRIVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33322",
            "telephone_number": "954-577-3003",
            "fax_number": "954-577-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGISTICS THERAPY OF BROWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRULLON",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-577-3003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC3962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lloyd Maliner, MD PA
• Bryanna Locascio, APRN
• Natalie Lodes, BCBA
• Jessica Loeb
• Logistics Therapy of Broward
• Shareen Lohse, PA-C
• Lois E. Natochy Rehab, Inc.
• Carolyn M Lomicka, ARNP
• Gaia Longhi, CFNC
• Lonnie Herman D.C.P.a.

• Health Service Clinic/Center in Plantation, FL
• Providers in Plantation, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.