OrganizationPhysical And Professional Therapy IncClinic/CenterAmbulatory Health Care FacilitiesPractice Address3750 W 16th Ave, Suite 248, Hialeah, FL 33012-4654(305) 819-6273PECOS EnrollmentBased on the most recent information from CMS, provider Physical And Professional Therapy Inc 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 ID1760810980Provider TypeOrganizationFull NamePhysical And Professional Therapy IncSubpartNoEnumeration Date10/25/2013Last Updated10/25/2013Contact InformationPractice LocationPractice Address3750 W 16th Ave, Suite 248, Hialeah, FL 33012-4654Phone(305) 819-6273Fax(305) 819-6274Mailing LocationMailing Address3750 W 16th Ave, Suite 248, Hialeah, FL 33012-4654Phone(305) 819-6273Fax(305) 819-6274Authorized OfficialNameCorea Vila, Juan Carlos (President)Phone(305) 819-6273Provider TaxonomiesCodeDescriptionLicenseCode261QH0100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseHCC10793Florida