Organization
INFINITE MINDS PPEC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE REGISTER (PRESIDENT)
(321) 239-7606
Entity
Organization
Contact information
Practice address
4308 N PINE HILLS RD, ORLANDO, FL 32808-2530
(321) 239-7606
Mailing address
5401 S KIRKMAN RD STE 214B, ORLANDO, FL 32819-7940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
227900000X
Registered Respiratory Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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