Prestige Sports and Regenerative Medicine LLC
NPI #1750100723 in Ft Lauderdale, Florida
Provider Information
- NPI Number
- 1750100723
- Entity Type
- Organization
- Organization Name
- Prestige Sports and Regenerative Medicine LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 7, 2024
- Last Updated
- Oct 14, 2024
Practice Location
- Address
- 3800 W BROWARD BLVD STE 101
- City
- Ft Lauderdale
- State
- Florida
- ZIP Code
- 33312-1018
- Phone
- (469) 915-4211
Authorized Official
- Name
- EMIR KHATTAK
- Title
- CREDENTIALING MANAGER
- Phone
- (469) 485-3166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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