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CENTRAL FLORIDA DREAMPLEX LLC NPI 1215017512


NPI Information

NPI: 1215017512
Provider Name: CENTRAL FLORIDA DREAMPLEX LLC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
2400 S HIGHWAY 27
SUITE B201
CLERMONT, FL
ZIP 34711
Phone: (352) 394-0212
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CENTRAL FLORIDA DREAMPLEX LLC is a pediatrics physical therapist in Clermont, FL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. CENTRAL FLORIDA DREAMPLEX LLC NPI is 1215017512. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2400 S HIGHWAY 27
SUITE B201
CLERMONT, FL
ZIP 34711-816
Phone: (352) 394-0212
Fax: (352) 241-6361

The provider's authorized official is Amy Gomes .
The authorized official title is President and has the following contact phone number (352) 394-0212.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 2/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XP0200XOccupational TherapistPediatricsNo
2235Z00000XSpeech-Language PathologistNo
32251P0200XPhysical TherapistPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1880914300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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