Provider Demographics
NPI:1588291595
Name:ATLANTIC THERAPY SOLUTIONS, LLC
Entity type:Organization
Organization Name:ATLANTIC THERAPY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREEA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HEGEDUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-843-6091
Mailing Address - Street 1:8991 SW 19TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-6701
Mailing Address - Country:US
Mailing Address - Phone:561-843-6091
Mailing Address - Fax:
Practice Address - Street 1:8991 SW 19TH AVENUE RD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-6701
Practice Address - Country:US
Practice Address - Phone:561-843-6091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-27
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty