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Florida Pediatric Therapy, LLC

Clinic/Center in Orlando, FL. Organization (NPI-2).

NPI number1043483969
StatusActive
Last updated in NPPESJan 4, 2026

Details

NPI
1043483969
Entity type
Organization (NPI-2)
Legal business name
Florida Pediatric Therapy, LLC
Organization subpart
No
Enumeration date
Apr 11, 2008
Certification date
Jan 4, 2026
Last updated
Jan 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
235Z00000X Speech-Language Pathologist,––
225X00000X Occupational Therapist––
224Z00000X Occupational Therapy Assistant––
225100000X Physical Therapist––
222Q00000X Developmental Therapist––
225200000X Physical Therapy Assistant––
252Y00000X Early Intervention Provider Agency––

Practice location

12901 Broleman Rd
Orlando, FL 32832-6107

Phone 407-641-0808

Mailing address

2130 Michigan Ave # 314
Kissimmee, FL 34744-2927

Phone 407-641-0808

Authorized official

Caroline L Bias
Sole Member
4076410808

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