Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fortunato Lucanos MA De Gracia

Individual provider Physical Therapist · NPI 1043745490

Fortunato Lucanos MA De Gracia is a Physical Therapist in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017

Practice location Address checks out

12315 Pembroke Rd
Pembroke Pines, FL 33025-1723
Phone: (954) 435-5300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT31840 (FL)

Record details

NPI number1043745490
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESApril 24, 2017

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