MEDICARE: ROBAINA PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1013605948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBAINA PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	4360 SW 96TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-5111
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4360 SW 96TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-5111
Country	:	US
Telephone Number	:	786-222-8407
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER AND CEO
Name	:	BRIAN LEYF RODRIGUEZ ROBAINA
Credential	:
Telephone Number	:	786-222-8407

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	04/27/2023

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