Healthcare Provider Details

I. General information

NPI: 1245721760
Provider Name (Legal Business Name): PHYSICAL THERAPY NOW OF SOUTH FLORIDA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2018
Last Update Date: 05/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3595 WEST 20 AVE STE B
HIALEAH FL
33012
US

IV. Provider business mailing address

15680 SW 88TH ST STE 201
MIAMI FL
33196-1160
US

V. Phone/Fax

Practice location:
  • Phone: 305-244-5883
  • Fax: 305-203-0546
Mailing address:
  • Phone: 305-570-1666
  • Fax: 305-203-0546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberOT11471
License Number StateFL

VIII. Authorized Official

Name: MR. ANDRES ZAPATA
Title or Position: MANAGER
Credential: OT
Phone: 305-570-1666