Organization
PORRAS PHYSICAL THERAPY AND REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS PORRAS PT (PRESIDENT)
(321) 676-9033
Entity
Organization
Contact information
Practice address
1282 WILD ROSE DR NE, PALM BAY, FL 32905-4310
(321) 676-9033
(321) 676-9033
Mailing address
1282 WILD ROSE DR NE, PALM BAY, FL 32905-4310
(321) 676-9033
(321) 676-9033
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y8221
MEDICARE PTAN
FL
Enumeration date
11/03/2008
Last updated
11/03/2008
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