MEDICARE: GIVE ME 5 ACADEMY 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	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	769644801	OTHER		LICENSE

General Provider Information

NPI Number	:	1194318923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIVE ME 5 ACADEMY INC

Provider Business Mailing Address
First Line	:	4180 SW 74TH CT STE 202
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4443
Country	:	US
Telephone Number	:	786-464-0369
Fax Number	:

Provider Business Practice Location Address
First Line	:	4180 SW 74TH CT STE 202
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33155-4443
Country	:	US
Telephone Number	:	786-464-0369
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	MRS. ROXANA POLLO
Credential	:
Telephone Number	:	786-587-4190

Provider Enumeration Date	:	02/12/2021
Last Update Date	:	03/09/2026

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Directions to “GIVE ME 5 ACADEMY INC ” Practice Location

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