Provider Demographics
NPI:1104584689
Name:EINSTEIN THERAPY CENTER, INC.
Entity type:Organization
Organization Name:EINSTEIN THERAPY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-505-6363
Mailing Address - Street 1:3250 SE 58TH AVE STE 1&2
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-1247
Mailing Address - Country:US
Mailing Address - Phone:352-421-5783
Mailing Address - Fax:
Practice Address - Street 1:3250 SE 58TH AVE STE 1&2
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-1247
Practice Address - Country:US
Practice Address - Phone:352-421-5783
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FUNDAMENTAL THERAPY SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-02
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty