Provider Demographics
NPI:1588738710
Name:DOWNEY, PAMELA A (PT)
Entity type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:A
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 MONZA AVE
Mailing Address - Street 2:#350
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3005
Mailing Address - Country:US
Mailing Address - Phone:305-666-3232
Mailing Address - Fax:305-666-5513
Practice Address - Street 1:1500 MONZA AVE
Practice Address - Street 2:#350
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3005
Practice Address - Country:US
Practice Address - Phone:305-666-3232
Practice Address - Fax:305-666-5513
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6975225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ9832ZOtherMEDICARE