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Contact Information

FUNCTIONAL IMPROVEMENTS THERAPY
12840 83RD AVE
ROSELAND, FL32957
 Phone: 772-532-0833
 Fax: 772-571-6190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for FUNCTIONAL IMPROVEMENTS THERAPY

NPI # 1598000184
LBN Legal business name FUNCTIONAL IMPROVEMENTS THERAPY
Authorized official SHERRY BLAKE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2012
Last updated 12/07/2012 - About 13 years ago
Identifiers
FL License # OT2648
FL Medicaid 006673400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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