Provider Demographics
NPI:1528082237
Name:SZMIGA, LOREN T (DPT)
Entity type:Individual
Prefix:MRS
First Name:LOREN
Middle Name:T
Last Name:SZMIGA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6860 NW 73RD ST
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-3916
Mailing Address - Country:US
Mailing Address - Phone:561-955-9384
Mailing Address - Fax:561-392-7395
Practice Address - Street 1:22971 VIA DE SONRISA DEL NORTE
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3905
Practice Address - Country:US
Practice Address - Phone:561-955-9384
Practice Address - Fax:561-392-7395
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21646225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY066VOtherBLUE CROSS BLUE SHIELD
FLU3889AMedicare ID - Type Unspecified
FLU3889BMedicare ID - Type Unspecified