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NPI Code Detail

MEDICARE: PELVIC THERAPY SOUTH FLORIDA, LLC

MEDICARE: PELVIC THERAPY SOUTH FLORIDA, 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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1376281295
Entity Type Code : Organization
Provider Name (Legal Business Name) : PELVIC THERAPY SOUTH FLORIDA, LLC
Provider Business Mailing Address
First Line : 185 SW 7TH ST APT 3701
Second Line :
City : MIAMI
State : FL
Zip : 33130-2984
Country : US
Telephone Number : 773-620-1163
Fax Number :
Provider Business Practice Location Address
First Line : 4100 SALZEDO ST STE 6
Second Line :
City : CORAL GABLES
State : FL
Zip : 33146-1751
Country : US
Telephone Number : 773-620-1163
Fax Number :
Authorized Official
Title or Position : OWNER/PHYSICAL THERAPIST
Name : KRISIA GATTAS
Credential :
Telephone Number : 773-620-1163
Provider Enumeration Date : 05/20/2022
Last Update Date : 04/15/2024

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Directions to “PELVIC THERAPY SOUTH FLORIDA, LLC ” Practice Location

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