| Excellence Physical Therapy LLC | |
|
2211 S Highway 77 Ste 201 Lynn Haven FL 32444-4641 | |
| (850) 252-1414 | |
| Not Available |
| Full Name | Excellence Physical Therapy LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2211 S Highway 77 Ste 201, Lynn Haven, Florida |
| Authorized Official Name and Position | Rati Poriya (OWNER) |
| Authorized Official Contact | 2819086480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence Physical Therapy LLC 2211 S Highway 77 Ste 201 Lynn Haven FL 32444-4641 | Excellence Physical Therapy LLC 2211 S Highway 77 Ste 201 Lynn Haven FL 32444-4641 Ph: (850) 252-1414 |
| NPI Number | 1679109953 |
|---|---|
| Provider Enumeration Date | 03/18/2020 |
| Last Update Date | 03/18/2020 |
| Certification Date | 03/18/2020 |
| Medicare PECOS PAC ID | 8527484054 |
|---|---|
| Medicare Enrollment ID | O20200814001284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679109953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Rati H Poriya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861853459 PECOS PAC ID: 9032406210 Enrollment ID: I20161003001902 |
| Provider Name | Heidi S Rosasco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750120432 PECOS PAC ID: 0244773943 Enrollment ID: I20240622000554 |
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