Organization
PHYSICAL THERAPY NOW HIALEAH LLC
Active
Organization
PHYSICAL THERAPY NOW HIALEAH LLC
Active
Other names
Physical Therapy Now Hialeah
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LEA FONDA (CREDENTIALING DIRECTOR)
(305) 470-9399
Entity
Organization
Contact information
Practice address
3595 W 20TH AVE STE 115, HIALEAH, FL 33012-4533
(305) 570-1666
(305) 203-0546
Mailing address
12277 SW 130TH ST, MIAMI, FL 33186-6218
(305) 470-3399
(305) 203-0546
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT11471
MEDICAL LICENSE
FL
Enumeration date
11/01/2021
Last updated
01/25/2024
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