Fountain Of Youth Therapies is a
Massage Therapist based in Orlando, Florida. Fountain Of Youth Therapies is licensed to practice in * (Not Available) (license number ) and their current practice location is
1603 S Hiawassee Rd Ste 105, Orlando, Florida. It can be reached at their office (for appointments etc.) via phone at
(407) 508-0768.
NPI number for Fountain Of Youth Therapies is 1972287027 and their current mailing address is 1603 S Hiawassee Rd Ste 105, Orlando, Florida. Fountain Of Youth Therapies
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1972287027.
Healthcare Provider's Profile
| Full Name | Fountain Of Youth Therapies |
|---|
| Type | Facility |
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| Speciality | Massage Therapist |
|---|
| Location | 1603 S Hiawassee Rd Ste 105, Orlando, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1972287027
- Provider Enumeration Date: 06/09/2023
- Last Update Date: 06/03/2024
Medical Identifiers
Medical identifiers for Fountain Of Youth Therapies such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972287027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
| 163WM1400X | Registered Nurse - Nurse Massage Therapist (nmt) | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fountain Of Youth Therapies is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fountain Of Youth Therapies
1603 S Hiawassee Rd Ste 105,
Orlando, FL 32835-6437
Ph: (407) 508-0768 | Fountain Of Youth Therapies
1603 S Hiawassee Rd Ste 105,
Orlando, FL 32835-6437
Ph: (407) 508-0768 |
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