Provider Demographics
NPI:1447714514
Name:MINDER, MICHAEL AK (DPT, KINE BSC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:AK
Last Name:MINDER
Suffix:
Gender:M
Credentials:DPT, KINE BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7135 COLLINS AVE
Mailing Address - Street 2:SUITE 334
Mailing Address - City:MIAMI BACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-3421
Mailing Address - Country:US
Mailing Address - Phone:305-376-1851
Mailing Address - Fax:
Practice Address - Street 1:7135 COLLINS AVE
Practice Address - Street 2:SUITE 334
Practice Address - City:MIAMI BACH
Practice Address - State:FL
Practice Address - Zip Code:33141-3421
Practice Address - Country:US
Practice Address - Phone:305-376-1851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT339452251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic