Provider Demographics
NPI:1568235471
Name:FORCE PHYSIOTHERAPY WYNWOOD LLC
Entity Type:Organization
Organization Name:FORCE PHYSIOTHERAPY WYNWOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:786-684-8796
Mailing Address - Street 1:2250 SW 71ST TER
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33317-7136
Mailing Address - Country:US
Mailing Address - Phone:786-684-8796
Mailing Address - Fax:954-281-9019
Practice Address - Street 1:2243 N MIAMI AVE STE 110
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-5823
Practice Address - Country:US
Practice Address - Phone:786-684-8796
Practice Address - Fax:954-281-9019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty