| Organization Name: | MEDPRO |
| NPI Number: | 1033353339 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRICIA GIBILISCO (DIRECTOR OF INTERNATIONAL THERAPY) |
| Mailing Address: | 3201 W Commercial Blvd Ste 116 Fort Lauderdale |
| State: | FL US |
| Postal Code: | 333093444 |
| Phone Number: | 9543324445 |
| Fax Number: | |
| NPI Enumeration Date: | 04/30/2009 |
| NPI Last Update Date: | 04/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 3644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |