# INTEGRATED PELVIC HEALTH AND REHABILITATION OF SOUTHWEST FLORIDA, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MICHAEL VIA THERAPY AND SERVICES, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790159507
- **Legal business name:** MICHAEL VIA THERAPY AND SERVICES, INC
- **Authorized official:** MICHAEL CHRISTOPHER VIA MSPT (OWNER)
- **Authorized official phone:** (941) 724-4653

## Contact information

- **Practice address:** 5929 APPROACH RD, SARASOTA, FL 34238-5720
- **Practice address phone:** (941) 724-4653
- **Practice address fax:** (941) 444-7689
- **Mailing address:** 5929 APPROACH RD, SARASOTA, FL 34238-5720
- **Mailing address phone:** (941) 724-4653
- **Mailing address fax:** (941) 444-7689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | PT12074 | FL | Yes |

## Other

- **Enumeration date:** 11/17/2015
- **Last updated:** 11/17/2015