Healthcare Provider Details

I. General information

NPI: 1336340181
Provider Name (Legal Business Name): JANETH BUENDIA PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2007
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 N MCMULLEN BOOTH RD
CLEARWATER FL
33761-2008
US

IV. Provider business mailing address

3131 N MCMULLEN BOOTH RD
CLEARWATER FL
33761-2008
US

V. Phone/Fax

Practice location:
  • Phone: 727-726-8871
  • Fax: 727-501-7330
Mailing address:
  • Phone: 727-726-8871
  • Fax: 727-501-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT11486
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: