| Kinetic Kickoff Llc | |
|
1810 W Kennedy Blvd Tampa FL 33606-1645 | |
| (305) 342-0327 | |
| Not Available |
| Full Name | Kinetic Kickoff Llc |
|---|---|
| Speciality | Occupational Therapy Assistant - Feeding, Eating & Swallowing |
| Location | 1810 W Kennedy Blvd, Tampa, Florida |
| Authorized Official Name and Position | Krizia I Faraj (MANAGER) |
| Authorized Official Contact | 3056063540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinetic Kickoff Llc 275 Nw 33rd Ave Miami FL 33125-4924 Ph: (305) 606-3540 | Kinetic Kickoff Llc 1810 W Kennedy Blvd Tampa FL 33606-1645 Ph: (305) 342-0327 |
| NPI Number | 1841056918 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 06/03/2025 |
| Certification Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841056918 | NPI | - | NPPES |
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