Organization
SLAINTE INC
Active
Other names
Slainte Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MOLLY ALIZABETH MILLER PT (PRESIDENT)
(813) 985-8878
Entity
Organization
Contact information
Practice address
5208 E FOWLER AVE, STE 4, TAMPA, FL 33617-1906
(813) 985-8878
(813) 985-7798
Mailing address
5208 E FOWLER AVE, STE 4, TAMPA, FL 33617-1906
(813) 985-8878
(813) 985-7798
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT0013284
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y8055
BCBS
FL
Enumeration date
11/11/2005
Last updated
08/22/2020
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