Organization
SCIFORM PHYSICAL THERAPY INC
Active
Other names
Proform Physical Therapy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SAILENDRA JITENDRAKUMAR PATEL DPT (AUTHORIZED OFFICIAL)
(524) 047-3363
Entity
Organization
Contact information
Practice address
232 CHESTNUT ST, CLERMONT, FL 34711-3020
(352) 404-7336
(352) 559-0421
Mailing address
232 CHESTNUT STREET, CLERMONT, FL 34711-3020
(352) 404-7336
(352) 559-0421
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
07/24/2023
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