| Fossitt Therapy Services, Inc. | |
|
2015 S Maple Ave Sanford FL 32771-3361 | |
| (407) 328-5420 | |
| (407) 328-5430 |
| Full Name | Fossitt Therapy Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2015 S Maple Ave, Sanford, Florida |
| Authorized Official Name and Position | Lawrence Allen Fossitt (PRESIDENT) |
| Authorized Official Contact | 4073285420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fossitt Therapy Services, Inc. 289 Brassington Dr Debary FL 32713-2138 Ph: (407) 792-8590 | Fossitt Therapy Services, Inc. 2015 S Maple Ave Sanford FL 32771-3361 Ph: (407) 328-5420 |
| NPI Number | 1811940471 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 01/17/2012 |
| Medicare PECOS PAC ID | 2062444698 |
|---|---|
| Medicare Enrollment ID | O20050906000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811940471 | NPI | - | NPPES |
| Provider Name | Lawrence A Fossitt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346310026 PECOS PAC ID: 9335171974 Enrollment ID: I20050907000445 |
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