Funshine Therapy LLC
Clinic/Center in Mount Dora, FL. Organization (NPI-2).
NPI number1649986647
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1649986647
- Entity type
- Organization (NPI-2)
- Legal business name
- Funshine Therapy LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2023
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – |
Practice location
1175 Lucerne DrMount Dora, FL 32757-3639
Phone 407-506-6705 · Fax 407-988-1514
Mailing address
1175 Lucerne DrMount Dora, FL 32757-3639
Phone 407-506-6705
Authorized official
Lisa Newton
Occupational Therapist
4075066705
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