Provider Demographics
NPI:1164178042
Name:FLOAT DOCTOR LLC
Entity Type:Organization
Organization Name:FLOAT DOCTOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:HEITZMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-698-0019
Mailing Address - Street 1:640 S PIER DR
Mailing Address - Street 2:
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-4986
Mailing Address - Country:US
Mailing Address - Phone:920-698-7011
Mailing Address - Fax:920-803-0337
Practice Address - Street 1:640 S PIER DR
Practice Address - Street 2:
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-4986
Practice Address - Country:US
Practice Address - Phone:920-698-7011
Practice Address - Fax:920-803-0337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-01
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation