Provider Demographics
NPI:1588057889
Name:BEGONIA THERAPEUTIC INC
Entity type:Organization
Organization Name:BEGONIA THERAPEUTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMR
Authorized Official - Middle Name:
Authorized Official - Last Name:ELZEIDY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:407-406-2267
Mailing Address - Street 1:2010 FORREST RD
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-6023
Mailing Address - Country:US
Mailing Address - Phone:407-406-2267
Mailing Address - Fax:
Practice Address - Street 1:2010 FORREST RD
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-6023
Practice Address - Country:US
Practice Address - Phone:407-406-2267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27131251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health