Provider Demographics
NPI:1174234553
Name:HERCULES PERFORMANCE AND PHYSICAL THERAPY, LLC.
Entity type:Organization
Organization Name:HERCULES PERFORMANCE AND PHYSICAL THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:
Authorized Official - Last Name:SPANO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, PT, CSCS
Authorized Official - Phone:954-226-0027
Mailing Address - Street 1:927 SANDPIPER LN
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-2225
Mailing Address - Country:US
Mailing Address - Phone:954-226-0027
Mailing Address - Fax:
Practice Address - Street 1:333 17TH ST STE R
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5687
Practice Address - Country:US
Practice Address - Phone:954-226-0027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty