Provider Demographics
NPI:1679745426
Name:FISICO THERAPY SOLUTIONS LLC
Entity type:Organization
Organization Name:FISICO THERAPY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONINO
Authorized Official - Middle Name:
Authorized Official - Last Name:TERESI
Authorized Official - Suffix:
Authorized Official - Credentials:PTA,CPT
Authorized Official - Phone:941-355-5565
Mailing Address - Street 1:8331 LOCKWOOD RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2930
Mailing Address - Country:US
Mailing Address - Phone:941-355-5565
Mailing Address - Fax:941-355-3933
Practice Address - Street 1:8331 LOCKWOOD RIDGE RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2930
Practice Address - Country:US
Practice Address - Phone:941-355-5565
Practice Address - Fax:941-355-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy