Provider Demographics
NPI:1679926588
Name:J&F PT PLLC
Entity type:Organization
Organization Name:J&F PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:NEIDICH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:954-740-9365
Mailing Address - Street 1:440 NE 4TH AVE UNIT 117
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-3445
Mailing Address - Country:US
Mailing Address - Phone:954-740-9365
Mailing Address - Fax:954-870-6141
Practice Address - Street 1:440 NE 4TH AVE UNIT 117
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-3445
Practice Address - Country:US
Practice Address - Phone:954-740-9365
Practice Address - Fax:954-870-6141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 27335251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health