Provider Demographics
NPI:1386754679
Name:DISCHIAVI, STEVE
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:DISCHIAVI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5944 CORAL RIDGE DR # 137
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-3300
Mailing Address - Country:US
Mailing Address - Phone:954-873-5374
Mailing Address - Fax:
Practice Address - Street 1:2229 N COMMERCE PKWY
Practice Address - Street 2:SUITE 200 A
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3239
Practice Address - Country:US
Practice Address - Phone:954-659-8986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18965225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT18965OtherLICENSE #