Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FORTUNATO LUCANOS MA DE GRACIA
ActivePhysical Therapy Assistant · PEMBROKE PINES, FL
Registration Details
- NPI Number
- 1043745490
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2017 (9.0240871143051 yrs)
- Last Updated
- Apr 24, 2017
- License
-
PT31840 (FL)
Practice Information
- Address
-
12315 PEMBROKE RDPEMBROKE PINES, FL, 330251723Browse FL providers · Browse ZIP 33025
- Phone
- 9544355300
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PEMBROKE PINES, FL
| Name | Credential | NPI |
|---|---|---|
| JOHN VADAKKAN | PT | 1700865078 |
| ANNE HOLNESS | PT | 1487624524 |
| SIMONE SPEYER | D.P.T,A.P.,D.O.M | 1669440046 |
| VIVIAN MARMOLEJO | PT | 1215988407 |
| MRS. ILEANA BRINIS-FERNANDEZ | PT | 1881649903 |
| JOHANNA DUSSAN | PT | 1972550721 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.