Provider Demographics
NPI:1255479259
Name:THERAPY ONE SOLUTION INC.
Entity Type:Organization
Organization Name:THERAPY ONE SOLUTION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIS
Authorized Official - Middle Name:I
Authorized Official - Last Name:REAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-231-8339
Mailing Address - Street 1:900 W 49TH ST
Mailing Address - Street 2:SUITE 234
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3402
Mailing Address - Country:US
Mailing Address - Phone:305-231-8339
Mailing Address - Fax:305-231-8359
Practice Address - Street 1:900 W 49TH ST
Practice Address - Street 2:SUITE 234
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3402
Practice Address - Country:US
Practice Address - Phone:305-231-8339
Practice Address - Fax:305-231-8359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC4920174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHCC4920OtherAHCA LICENSE
FLK9252Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER