Healthcare Provider Details

I. General information

NPI: 1033665856
Provider Name (Legal Business Name): ABILITY HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 08/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 MILLENNIUM PKWY
BRANDON FL
33511-3895
US

IV. Provider business mailing address

1200 LEXINGTON GREEN LN
SANFORD FL
32771-1013
US

V. Phone/Fax

Practice location:
  • Phone: 813-381-4944
  • Fax: 813-381-3608
Mailing address:
  • Phone: 407-688-0070
  • Fax: 407-688-0071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOHN GUERRINA
Title or Position: VICE-PRESIDENT
Credential:
Phone: 407-688-0070