Organization
FLORIDA THERAPY CENTER VIERA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATHEW SIMON KRONMAN MPT (CEO, PRESIDENT)
(321) 255-2084
Entity
Organization
Contact information
Practice address
7640 N WICKHAM RD STE 110, MELBOURNE, FL 32940-8147
(321) 255-2084
(321) 255-2087
Mailing address
7640 N WICKHAM RD STE 110, MELBOURNE, FL 32940-8147
(321) 255-2084
(321) 255-2087
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT16847
FL
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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