Organization
JJWP LLC
Active
Other names
Fyzical Therapy and Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRAZIELLA G MORA LAT, ATC (OWNER)
(407) 489-5614
Entity
Organization
Contact information
Practice address
500 NW PEACOCK BLVD STE 103&104, PORT ST LUCIE, FL 34986-2365
(407) 489-5614
Mailing address
500 NW PEACOCK BLVD STE 103, PORT ST LUCIE, FL 34986-2366
(407) 489-5614
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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