=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760219711
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THERAPY WORLD LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2024
-----------------------------------------------------
Last Update Date | 09/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 306 S 10TH ST
-----------------------------------------------------
City | HAINES CITY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33844-5602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-913-1010
-----------------------------------------------------
Fax | 407-992-8697
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 819 E OAK ST STE A
-----------------------------------------------------
City | KISSIMMEE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34744-5842
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-913-1010
-----------------------------------------------------
Fax | 407-992-8697
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MONICA MIRANDA RODRIGUEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 407-913-1010
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------