Organization
TOLIS THERAPY PEDIATRIC & OUTPATIENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOAA TALEES (OWNER)
(941) 286-8473
Entity
Organization
Contact information
Practice address
842 PLACID LAKE DR, OSPREY, FL 34229-6833
(941) 286-8473
Mailing address
842 PLACID LAKE DR, OSPREY, FL 34229-6833
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PT18988
FL
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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