Provider Demographics
NPI:1235200056
Name:THERAPY ADVANTAGE INC
Entity Type:Organization
Organization Name:THERAPY ADVANTAGE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:305-275-0451
Mailing Address - Street 1:9950 SW 107TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2785
Mailing Address - Country:US
Mailing Address - Phone:305-275-0451
Mailing Address - Fax:305-275-0455
Practice Address - Street 1:9950 SW 107TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2785
Practice Address - Country:US
Practice Address - Phone:305-275-0451
Practice Address - Fax:305-275-0455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG8WOtherBCBSF
FLG8WOtherBCBSF