Provider Demographics
NPI:1609015304
Name:AUTONOMY HEALTH INC
Entity Type:Organization
Organization Name:AUTONOMY HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:PHILIPPE
Authorized Official - Last Name:CLERMONT
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:786-709-7268
Mailing Address - Street 1:1395 NW 95TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-2615
Mailing Address - Country:US
Mailing Address - Phone:305-691-4360
Mailing Address - Fax:305-835-0685
Practice Address - Street 1:1395 NW 95TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-2615
Practice Address - Country:US
Practice Address - Phone:305-691-4360
Practice Address - Fax:305-835-0685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT13681171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty