Provider Demographics
NPI:1942911516
Name:FLORIDA INTEGRATED THERAPY INC
Entity Type:Organization
Organization Name:FLORIDA INTEGRATED THERAPY INC
Other - Org Name:FLORIDA INTEGRATED THERAPY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ZAMBRANO PENA
Authorized Official - Suffix:I
Authorized Official - Credentials:BCBA
Authorized Official - Phone:954-608-6767
Mailing Address - Street 1:3508 NW 114TH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-1841
Mailing Address - Country:US
Mailing Address - Phone:954-608-6767
Mailing Address - Fax:786-866-0585
Practice Address - Street 1:3508 NW 114TH AVE STE 101
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-1841
Practice Address - Country:US
Practice Address - Phone:954-608-6767
Practice Address - Fax:786-866-0585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty