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:
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Health care specialties

SpecialtyCodeLicense #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 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740239250 NPPES
Florida Other Y056RY MEDICARE PTAN

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