Organization
FUNCTIONA; PHYSICAL FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIA GATES (FOUNDER/PHYSICAL THERAPIST)
(959) 200-2267
Entity
Organization
Contact information
Practice address
409 S GOMEZ AVE APT 1, TAMPA, FL 33609-4194
(959) 200-2267
Mailing address
409 S GOMEZ AVE APT 1, TAMPA, FL 33609-4194
(959) 200-2267
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2025
Last updated
12/20/2025
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