Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 25755 | FL |
NPI | 1316054786 |
---|---|
Provider Name | Malfa Sugoy-Sy |
First Address | Boca Raton, FL 33432 |
Second Address | Boca Raton, FL 33432 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 13/04/2011 |