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Organization
FUNCTIONALLY LIMITLESS, LLC
Active
Organization
FUNCTIONALLY LIMITLESS, LLC
Active
Parent organization
FUNCTIONALLY LIMITLESS, LLC
Other names
Limitless Concierge Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUNCTIONALLY LIMITLESS, LLC
Authorized official
DR. TRAVIS D BOERSMA DPT (OWNER)
(954) 325-9395
Entity
Organization
Contact information
Practice address
2425 N COURTENAY PKWY STE 103, MERRITT ISLAND, FL 32953-4181
(321) 795-4213
(844) 210-9901
Mailing address
2585 LYNWOOD PL, MERRITT ISLAND, FL 32953-4163
(954) 325-9395
(844) 210-9901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26481
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726167
—
FL
Enumeration date
06/05/2018
Last updated
02/02/2024
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