Healthcare Provider Details

I. General information

NPI: 1720761745
Provider Name (Legal Business Name): HARMONY PELVIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4885 W SPENCER FIELD RD
PACE FL
32571-1232
US

IV. Provider business mailing address

3451 JUBILEE DR
PACE FL
32571-8666
US

V. Phone/Fax

Practice location:
  • Phone: 850-262-8558
  • Fax:
Mailing address:
  • Phone: 850-516-5321
  • Fax:

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: KINSEY BROOKS
Title or Position: OWNER/MANAGER
Credential:
Phone: 850-516-5321