Provider Demographics
NPI:1629383724
Name:THERA BEE COLONY INC
Entity Type:Organization
Organization Name:THERA BEE COLONY INC
Other - Org Name:TOTAL REHAB THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:NEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:754-366-7425
Mailing Address - Street 1:7797 N UNIVERSITY DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-6110
Mailing Address - Country:US
Mailing Address - Phone:954-255-8444
Mailing Address - Fax:
Practice Address - Street 1:7797 N UNIVERSITY DR
Practice Address - Street 2:SUITE 103
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-6110
Practice Address - Country:US
Practice Address - Phone:954-255-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22553261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy