Healthcare Provider Details

I. General information

NPI: 1396147864
Provider Name (Legal Business Name): LEVERAGE HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2014
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6018 SW 18TH ST SUITES C-10 AND C-11
BOCA RATON FL
33433-7199
US

IV. Provider business mailing address

6018 SW 18TH ST SUITES C-10 AND C-11
BOCA RATON FL
33433-7199
US

V. Phone/Fax

Practice location:
  • Phone: 954-993-6299
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. MATEO JAMES MARTINEZ
Title or Position: PRESIDENT/PHYSICAL THERAPIST
Credential: P.T.
Phone: 954-993-6299