Healthcare Provider Details

I. General information

NPI: 1609408632
Provider Name (Legal Business Name): HARVEY JAVIER CAJINA PT,DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2020
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 W MICHIGAN ST
ORLANDO FL
32806-4465
US

IV. Provider business mailing address

2071 DIXIE BELLE DR APT J
ORLANDO FL
32812-5389
US

V. Phone/Fax

Practice location:
  • Phone: 407-888-2255
  • Fax:
Mailing address:
  • Phone: 786-470-6059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number43653
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: