Provider Demographics
NPI:1033795125
Name:HEAL PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:HEAL PHYSICAL THERAPY, INC
Other - Org Name:LIFE & MENTAL HEALTH CARE INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-778-9592
Mailing Address - Street 1:7270 NW 12TH ST STE 440
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1941
Mailing Address - Country:US
Mailing Address - Phone:305-778-9592
Mailing Address - Fax:
Practice Address - Street 1:7270 NW 12TH ST STE 440
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1941
Practice Address - Country:US
Practice Address - Phone:305-778-9592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-20
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty