Healthcare Provider Details
I. General information
NPI: 1114883733
Provider Name (Legal Business Name): FLAMINGO THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/27/2025
Last Update Date: 12/27/2025
Certification Date: 12/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4642 TARREGA ST
SEBRING FL
33872-1715
US
IV. Provider business mailing address
4642 TARREGA ST
SEBRING FL
33872-1715
US
V. Phone/Fax
- Phone: 863-414-6981
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MONICA
HONIMAR
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 863-414-6981