Organization
PT LOVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVONNE S BAUTISTA ENCISO (OWNER)
(772) 333-9808
Entity
Organization
Contact information
Practice address
2829 NW 110TH TER, SUNRISE, FL 33322-1853
(772) 339-9808
Mailing address
2829 NW 110TH TER, SUNRISE, FL 33322-1853
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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