Provider Demographics
NPI:1033285952
Name:NEUROMUSCULAR INSITUTUTE INC
Entity Type:Organization
Organization Name:NEUROMUSCULAR INSITUTUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BOWYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-752-7773
Mailing Address - Street 1:4802 26TH ST WEST
Mailing Address - Street 2:SUITE C
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207
Mailing Address - Country:US
Mailing Address - Phone:941-752-7773
Mailing Address - Fax:941-752-7774
Practice Address - Street 1:4802 26TH ST WEST
Practice Address - Street 2:SUITE C
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207
Practice Address - Country:US
Practice Address - Phone:941-752-7773
Practice Address - Fax:941-752-7774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK9643Medicare ID - Type Unspecified