Organization
RESURGENT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY BLOOM (OWNER, PHYSICAL THERAPIST)
(224) 656-7305
Entity
Organization
Contact information
Practice address
5731 KINGFISH DR, LUTZ, FL 33558-7105
(224) 656-7305
Mailing address
5731 KINGFISH DR, LUTZ, FL 33558-7105
(224) 656-7305
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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