Organization
PHYSICAL THERAPY NOW HOLDINGS LLC
Active
Other names
Physical Therapy Now Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LEA FONDA (CREDENTIALING DIRECTOR)
(305) 470-9399
Entity
Organization
Contact information
Practice address
6216 SAUTERNE DR, JACKSONVILLE, FL 32210-7729
(883) 727-9238
(305) 203-0546
Mailing address
12277 SW 130TH ST, MIAMI, FL 33186-6218
(305) 570-1666
(305) 203-0546
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT11471
MEDICAL LICENSE
FL
Enumeration date
01/14/2022
Last updated
01/14/2022
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