Healthcare Provider Details
I. General information
NPI: 1700248887
Provider Name (Legal Business Name): FYZBIZ, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2016
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15620 MCGREGOR BLVD STE 115
FORT MYERS FL
33908-2528
US
IV. Provider business mailing address
PO BOX 632653
CINCINNATI OH
45263-2653
US
V. Phone/Fax
- Phone: 239-454-6262
- Fax: 239-454-0350
- Phone: 239-947-4184
- Fax: 239-947-4171
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0400X |
| Taxonomy | Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIC
ELDON
DOUGLASS
Title or Position: CHIEF CLINICAL OFFICER
Credential: PT
Phone: 941-870-4401