2911 Therapy, LLC
Point of Service in Plantation, FL. Organization (NPI-2).
NPI number1821746827
StatusActive
Last updated in NPPESMar 17, 2022
Details
- NPI
- 1821746827
- Entity type
- Organization (NPI-2)
- Legal business name
- 2911 Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2022
- Certification date
- Mar 17, 2022
- Last updated
- Mar 17, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305S00000X | Point of Service | – | – | Yes |
Other names
- 2911 Therapy, LLC (Doing Business As)
Practice location
300 S Pine Island Rd Ste 214Plantation, FL 33324-2620
Phone 754-238-6079
Mailing address
6240 W Oakland Park Blvd Unit 190636Lauderhill, FL 33319-8725
Phone 754-238-6079
Authorized official
Renyale Treon Davis
Owner/Clinician
7542386079
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