Organization
ENJOY LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE MOLTIMORE BSPT, MPA (OWNER/PHYSICAL THERAPIST)
(850) 576-5433
Entity
Organization
Contact information
Practice address
1533 S. MONROE ST., SUITE 2, TALLAHASSEE, FL 32301
(850) 576-5433
(850) 222-5459
Mailing address
PO BOX 5521, TALLAHASSEE, FL 32314-5521
(850) 576-5433
(850) 222-5459
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO162A
MEDICARE PTAN
FL
Enumeration date
05/08/2008
Last updated
08/12/2011
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