Provider Demographics
NPI:1053628636
Name:PHYSICAL THERAPY SOLUTIONS OF SOUTH FLORIDA INC.
Entity Type:Organization
Organization Name:PHYSICAL THERAPY SOLUTIONS OF SOUTH FLORIDA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:786-295-7576
Mailing Address - Street 1:18784 SW 29TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2404
Mailing Address - Country:US
Mailing Address - Phone:786-295-7576
Mailing Address - Fax:954-436-7752
Practice Address - Street 1:18784 SW 29TH CT
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-2404
Practice Address - Country:US
Practice Address - Phone:786-295-7576
Practice Address - Fax:954-436-7752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT15152225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty