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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