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

Jorge Bazante

Individual provider Physical Therapy Assistant · NPI 1679204713

Jorge Bazante is a Physical Therapy Assistant in Hollywood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

53 Ash Dr
Hollywood, FL 33026-1102
Phone: (561) 767-4421
Fax: (561) 768-7269
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 32002 (FL)

Record details

NPI number1679204713
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 20, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022
Mailing address100 Kings Point Dr Apt 1510, Sunny Isles Beach, FL 33160-4730

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