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General NPI Number Information
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NPI Number | 1548473978
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Entity Type | Organization
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Legal Business Name | FIT THERAPY LLC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8558 GLENCAIRN LN
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1466
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Country | US
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Telephone | 786-417-5517
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Fax | 305-512-6061
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Provider Business Mailing Address
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Address Line | 8558 GLENCAIRN LN
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City | MIAMI LAKES
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State | FL
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Zip | 33016-1466
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Country | US
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Telephone | 786-417-5517
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Fax | 305-512-6061
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. HEBERTO ROY GALICIA
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Credential | MSPT
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Telephone | 786-417-5517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT22298
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT9984
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License Number State | FL
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