Provider Demographics
NPI:1316183155
Name:PLEASANTS, DONNA (PT)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:
Last Name:PLEASANTS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N PINE ISLAND RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1849
Mailing Address - Country:US
Mailing Address - Phone:954-476-8800
Mailing Address - Fax:954-476-1362
Practice Address - Street 1:350 N PINE ISLAND RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-1849
Practice Address - Country:US
Practice Address - Phone:954-476-8800
Practice Address - Fax:954-476-1362
Is Sole Proprietor?:No
Enumeration Date:2008-12-29
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0007975225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist