Provider Demographics
NPI:1114675295
Name:FRANCISCO RAMIREZ PLANTATION GCC PHYSICAL THERAPY
Entity Type:Organization
Organization Name:FRANCISCO RAMIREZ PLANTATION GCC PHYSICAL THERAPY
Other - Org Name:PLANTATION GCC PHYSICAL THERAPY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:941-204-3555
Mailing Address - Street 1:8691 ATMORE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34287-3701
Mailing Address - Country:US
Mailing Address - Phone:941-204-3555
Mailing Address - Fax:
Practice Address - Street 1:500 ROCKLEY BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-4300
Practice Address - Country:US
Practice Address - Phone:941-204-3555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty