| Doctor Name: | MR. PREMANAND KARUNAMURTHY |
| NPI Number: | 1326359852 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.P.T., |
| License Number: | 070.017570 |
| Business Practice Address: | 3201, West Commercial Blvd., Suite#116 Medpro Fort Lauderdale, FL - 333090000 |
| Business Phone Number: | 9543324445 |
| Business Fax Number: | 8664226431 |
| Mailing Address: | 3201 West Commercial Blvd.,, Suite#116 Medpro FORT LAUDERDALE |
| State: | FL |
| Postal Code: | 333090000 |
| Phone Number: | 9543324445 |
| Fax Number: | 8664226431 |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070.017570 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| 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 |