MEDICARE: HEALTHCARE AND THERAPY SERVICES CORP

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	261QH0100X	Health Service Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942741228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE AND THERAPY SERVICES CORP

Provider Business Mailing Address
First Line	:	12995 S CLEVELAND AVE STE 157
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3867
Country	:	US
Telephone Number	:	239-204-9776
Fax Number	:	239-316-7104

Provider Business Practice Location Address
First Line	:	12995 S CLEVELAND AVE STE 157
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33907-3867
Country	:	US
Telephone Number	:	239-204-9776
Fax Number	:	239-316-7104

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YAIMISEL CARLOS PEREZ
Credential	:
Telephone Number	:	239-204-9776

Provider Enumeration Date	:	03/20/2017
Last Update Date	:	06/03/2020

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Directions to “HEALTHCARE AND THERAPY SERVICES CORP ” Practice Location

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