Provider Demographics
NPI:1942541420
Name:THERAPEUTICFX, LLC
Entity type:Organization
Organization Name:THERAPEUTICFX, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALED
Authorized Official - Middle Name:
Authorized Official - Last Name:TEMRAZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:863-491-7055
Mailing Address - Street 1:1311 E OAK ST
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-8902
Mailing Address - Country:US
Mailing Address - Phone:941-204-0745
Mailing Address - Fax:
Practice Address - Street 1:1311 E OAK ST
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-8902
Practice Address - Country:US
Practice Address - Phone:863-491-7055
Practice Address - Fax:863-491-7056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-08
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 10572225X00000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty