Organization
TOTAL THERAPY FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN W. STIVER DPT (OWNER)
(941) 468-7202
Entity
Organization
Contact information
Practice address
1499 E VENICE AVE UNIT A, VENICE, FL 34292-3207
(941) 451-8657
(941) 218-5630
Mailing address
3650 N ACCESS RD, ENGLEWOOD, FL 34224-8655
(941) 460-3831
(941) 218-5627
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT31147
LICENSE
FL
Enumeration date
12/14/2017
Last updated
07/10/2024
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