Florida Pediatric Therapy, Llc
Clinic/Center in Orlando, FL(View on Map)
Legal Business Name
Florida Pediatric Therapy, Llc
NPI Number
1043483969
NPI Type
Organization
Enumeration Date
04/11/2008
Specialties
(Taxonomies)Name
Code
261Q00000X
222Q00000X
252Y00000X
225X00000X
224Z00000X
225100000X
225200000X
235Z00000X
Primary Taxonomy
Yes
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
12901 BROLEMAN RD
12901 BROLEMAN RD
City
Orlando
Orlando
State
FL
FL
Postal Code
32832-6107
32832-6107
Country
US
US
Telephone Number
(407) 641-0808
(407) 641-0808
Authorized Official
Name
Caroline Bias
Title or Position
SOLE MEMBER
Telephone Number
(407) 641-0808
Identifiers
Identifier
000924900
812213000
Identifier State
FL
FL
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/04/2022
Provider Address
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