Organization
IMPACT PHYSICAL THERAPY AND SPORTS PERFORMANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANELLE MARIE FLEITES PT (OWNER)
(786) 205-4997
Entity
Organization
Contact information
Practice address
8200 SW 117TH AVE STE 300, MIAMI, FL 33183-4826
(786) 205-4997
Mailing address
6190 SW 116TH ST, PINECREST, FL 33156-4957
(786) 205-4997
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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