Healthcare Provider Details

I. General information

NPI: 1952939043
Provider Name (Legal Business Name): FIX IT PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 07/13/2023
Certification Date: 07/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8262 GRIFFIN RD
DAVIE FL
33328-3715
US

IV. Provider business mailing address

8262 GRIFFIN RD
DAVIE FL
33328-3715
US

V. Phone/Fax

Practice location:
  • Phone: 786-547-8281
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: FREIRE ALCANTARA
Title or Position: OWNER
Credential: DPT
Phone: 954-368-4598