Organization

Therapeutic Potentials, Inc

Clinic/Center in Lakewood Ranch, FL(View on Map)

Legal Business Name

Therapeutic Potentials, Inc

NPI Number

1013135169

NPI Type

Organization

Enumeration Date

04/23/2007

Specialties

(Taxonomies)

Code

261Q00000X
225X00000X
225100000X
235Z00000X

Primary Taxonomy

Yes
No
No
No

Licenses

State

Florida

License Number

SA5010

Contact
Information

Purpose

Mailing
Location

Address

6977 PROFESSIONAL PKWY E
6977 PROFESSIONAL PKWY E

City

Lakewood Ranch
Lakewood Ranch

State

FL
FL

Postal Code

34240-8411
34240-8411

Country

US
US

Telephone Number

(941) 758-3140
(941) 758-3140

Authorized Official

Name

Davon Rice

Title or Position

BILLING MANAGER

Telephone Number

(941) 702-9973

Identifiers

Identifier

888464102
888464100
888464101

Identifier State

FL
FL
FL

Identifier Issuer

Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/17/2024

Provider Address

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