Healthcare Provider Details

I. General information

NPI: 1518931575
Provider Name (Legal Business Name): FLORIDA FITNESS AND REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18900 N TAMIAMI TRL SUITE A-5
N FT MYERS FL
33903-7312
US

IV. Provider business mailing address

18900 N TAMIAMI TRL SUITE A-5
N FT MYERS FL
33903-7312
US

V. Phone/Fax

Practice location:
  • Phone: 239-731-6222
  • Fax: 239-731-6555
Mailing address:
  • Phone: 239-731-6222
  • Fax: 239-731-6555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER HUGH MULVEY
Title or Position: OWNER
Credential: DPT
Phone: 239-731-6222