Provider Demographics
NPI:1629285499
Name:CENTRAL FLORIDA THERAPY SPECIALISTS, INC.
Entity Type:Organization
Organization Name:CENTRAL FLORIDA THERAPY SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:DUVALL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-357-5133
Mailing Address - Street 1:1301 S BAY ST
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-5550
Mailing Address - Country:US
Mailing Address - Phone:352-357-5133
Mailing Address - Fax:352-357-5460
Practice Address - Street 1:1301 S BAY ST
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:FL
Practice Address - Zip Code:32726-5550
Practice Address - Country:US
Practice Address - Phone:352-357-5133
Practice Address - Fax:352-357-5460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT9908302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106866Medicare ID - Type UnspecifiedMEDICARE