Provider Demographics
NPI:1871853994
Name:HEARTS AND HANDS OF NORTH FLORIDA
Entity Type:Organization
Organization Name:HEARTS AND HANDS OF NORTH FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAUNGAYLIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RANDOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:850-778-2661
Mailing Address - Street 1:607 W ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32310-6832
Mailing Address - Country:US
Mailing Address - Phone:850-778-2661
Mailing Address - Fax:
Practice Address - Street 1:607 W ORANGE AVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32310-6832
Practice Address - Country:US
Practice Address - Phone:850-778-2661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19224261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy