Organization
CENTRAL FLORIDA SPORTS & PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA KATHLEEN JARVIS MS, PT, ATC, LAT (PRESIDENT)
(407) 957-6290
Entity
Organization
Contact information
Practice address
4237 13TH ST, SAINT CLOUD, FL 34769-6732
(407) 957-6290
(407) 891-9183
Mailing address
PO BOX 700097, SAINT CLOUD, FL 34770-0097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10828
FL
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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