Organization Name: | SUNCOAST SPORTS AND ORTHOPEDIC THERAPY |
NPI Number: | 1932366929 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN MARIANO KIAG (OWNER/PHYSICAL THERAPIST) |
Mailing Address: | 3690 E Bay Drive Ste S Largo |
State: | FL US |
Postal Code: | 337711946 |
Phone Number: | 7275320005 |
Fax Number: | 7275249060 |
NPI Enumeration Date: | 05/19/2008 |
NPI Last Update Date: | 02/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | PT7410 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |