Healthcare Provider Details

I. General information

NPI: 1730666355
Provider Name (Legal Business Name): NEXT PT GROUP FLORIDA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2018
Last Update Date: 12/29/2020
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 SE 31ST ST UNIT 3
OCALA FL
34471
US

IV. Provider business mailing address

1379 PLAYERS CLUB CIR
GULF BREEZE FL
32563-3521
US

V. Phone/Fax

Practice location:
  • Phone: 631-220-1581
  • Fax:
Mailing address:
  • Phone:
  • 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: KEVIN P. KRUEGER
Title or Position: OWNER
Credential:
Phone: 850-380-4657