Provider Demographics
NPI:1174270771
Name:FLORIDA STRONG PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:FLORIDA STRONG PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRONSON
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTOLONE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:330-397-6265
Mailing Address - Street 1:1920 SABAL PALM DR APT 104
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-5956
Mailing Address - Country:US
Mailing Address - Phone:330-397-6265
Mailing Address - Fax:
Practice Address - Street 1:1920 SABAL PALM DR APT 104
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-5956
Practice Address - Country:US
Practice Address - Phone:330-397-6265
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty