Individual ProviderPhilip Christian ViolettaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address801 N Orange Ave Ste 610, Orlando, FL 32801-5202(407) 236-7155PECOS EnrollmentBased on the most recent information from CMS, provider Philip Christian Violetta does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1518663087Provider TypeIndividualFull NameVioletta, Philip ChristianTitleMr.CredentialDPTGenderMaleSole ProprietorYesEnumeration Date2/6/2023Last Updated12/28/2023Contact InformationPractice LocationPractice Address801 N Orange Ave Ste 610, Orlando, FL 32801-5202Phone(407) 236-7155Fax(407) 236-7441Mailing LocationMailing Address100 E 2nd Ave Ste 210, Rome, GA 30161-1718Phone(407) 236-7155Fax(407) 236-7441Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT39903FloridaProvider IdentifiersIDDescriptionIssuerIDPT39903DescriptionOtherIssuerLICENSEFlorida