Provider Demographics
NPI:1497410815
Name:PHYSICAL THERAPY NOW PALMETTO BAY LLC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY NOW PALMETTO BAY LLC
Other - Org Name:PHYSICAL THERAPY NOW PALMETTO BAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPATA
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:305-244-5883
Mailing Address - Street 1:12277 SW 130TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6218
Mailing Address - Country:US
Mailing Address - Phone:305-470-9399
Mailing Address - Fax:305-203-0546
Practice Address - Street 1:14869 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33176-7928
Practice Address - Country:US
Practice Address - Phone:305-570-1666
Practice Address - Fax:305-203-0546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOT11471OtherMEDICAL LICENSE