MEDICARE: HEAL PHYSICAL THERAPY, INC

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1033795125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAL PHYSICAL THERAPY, INC

Provider Business Mailing Address
First Line	:	7270 NW 12TH ST STE 440
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1941
Country	:	US
Telephone Number	:	305-778-9592
Fax Number	:

Provider Business Practice Location Address
First Line	:	7270 NW 12TH ST STE 440
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-1941
Country	:	US
Telephone Number	:	305-778-9592
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IRAIMA FLORES
Credential	:
Telephone Number	:	305-778-9592

Provider Enumeration Date	:	03/20/2021
Last Update Date	:	08/23/2022

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Directions to “HEAL PHYSICAL THERAPY, INC ” Practice Location

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