| Organization Name: | WHITE BAY P.T. INC |
| NPI Number: | 1467767418 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LIONEL PANNUNZIO (PRESIDENT) |
| Mailing Address: | 4465 Sw 160th Ave 100 Miramar |
| State: | FL US |
| Postal Code: | 330275734 |
| Phone Number: | 9544301061 |
| Fax Number: | 9544301061 |
| NPI Enumeration Date: | 08/15/2010 |
| NPI Last Update Date: | 08/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT20707 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |