Healthcare Provider Details

I. General information

NPI: 1205765328
Provider Name (Legal Business Name): INTEGRATED THERAPY OF FL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14797 PHILIPS HWY STE 105
JACKSONVILLE FL
32256-3746
US

IV. Provider business mailing address

2221 PEACHTREE RD NE STE D336
ATLANTA GA
30309-1148
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-5307
  • Fax: 404-351-5308
Mailing address:
  • Phone: 404-351-5307
  • Fax: 404-351-5308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HARRIET ADAMS
Title or Position: CEO
Credential:
Phone: 404-351-5307