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NPI Code Detail

MEDICARE: SOUTHWEST FLORIDA MOBILE THERAPY, INC.

MEDICARE: SOUTHWEST FLORIDA MOBILE 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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1134730799
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST FLORIDA MOBILE THERAPY, INC.
Provider Business Mailing Address
First Line : 6 CAYMAN CT
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-2003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6839 PORTO FINO CIR
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4361
Country : US
Telephone Number : 941-276-5710
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DONALD CHARLES SCHULTZ III
Credential : PT
Telephone Number : 941-276-5710
Provider Enumeration Date : 08/16/2020
Last Update Date : 01/02/2025

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Directions to “SOUTHWEST FLORIDA MOBILE THERAPY, INC. ” Practice Location

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