| Organization Name: | THERAPEUTICFX, LLC |
| NPI Number: | 1043551260 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERDA JEAN (OTR/L) |
| Mailing Address: | 1311 E Oak St Arcadia |
| State: | FL US |
| Postal Code: | 342668902 |
| Phone Number: | 9412040745 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2013 |
| NPI Last Update Date: | 03/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471S1302X |
| License Number: | ARDMS 105953 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Sonography |
| Taxonomy Definition: | |