Madonia, Keith Ryan
Madonia, Keith Ryan is an individual health care provider with primary practice located at 2042 Sw Providence Pl , Port St Lucie FL 34953-4385. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Madonia, Keith Ryan can be contacted via phone (305) 310-3702.Contact Information
Primary practice address
2042 Sw Providence Pl
Port St Lucie FL 34953-4385
Phone: (305) 310-3702
Fax: (888) 293-8662
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT19334 | Florida |
Profile Details
NPI number | 1740239250 |
---|---|
LBN Legal business name | Madonia, Keith Ryan |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | May 21st, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740239250 | NPPES |
Florida | Other | Y056RY | MEDICARE PTAN |
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