Healthcare Provider Details

I. General information

NPI: 1699325100
Provider Name (Legal Business Name): TRULI HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2019
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 ALTERNATE A1A STE 504
PALM BEACH GARDENS FL
33410-4936
US

IV. Provider business mailing address

9850 ALTERNATE A1A STE 504
PALM BEACH GARDENS FL
33410-4936
US

V. Phone/Fax

Practice location:
  • Phone: 305-570-1666
  • Fax: 305-203-0546
Mailing address:
  • Phone: 305-570-1666
  • Fax: 305-203-0546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DERRICK DAVIS
Title or Position: OWNER
Credential:
Phone: 754-816-6324