Healthcare Provider Details

I. General information

NPI: 1225867302
Provider Name (Legal Business Name): FIT REHAB & CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E INDIANTOWN RD STE 100
JUPITER FL
33477-5142
US

IV. Provider business mailing address

900 E INDIANTOWN RD STE 100
JUPITER FL
33477-5142
US

V. Phone/Fax

Practice location:
  • Phone: 561-271-2530
  • Fax:
Mailing address:
  • Phone: 561-271-2530
  • 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 Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ANTONIO DOMINGUEZ
Title or Position: CEO
Credential:
Phone: 888-627-2325