Provider Demographics
NPI:1285856526
Name:ROBERT VOLSKI & ASSOCIATES INC
Entity Type:Organization
Organization Name:ROBERT VOLSKI & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:VOLSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT , MTC, CFC
Authorized Official - Phone:239-936-4404
Mailing Address - Street 1:12734 KENWOOD LANE
Mailing Address - Street 2:SUITE 56
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-5638
Mailing Address - Country:US
Mailing Address - Phone:239-936-4404
Mailing Address - Fax:239-936-5156
Practice Address - Street 1:12734 KENWOOD LANE
Practice Address - Street 2:SUITE 56
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-5638
Practice Address - Country:US
Practice Address - Phone:239-936-4404
Practice Address - Fax:239-936-5156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT1852261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0493652OtherAETNA
FL3278925OtherUNITED
FLY90HDOtherBC/BS
FLY90HDOtherBC/BS
FLDQ656AMedicare UPIN