Provider Demographics
NPI:1720452550
Name:NUCARE THERAPY LLC
Entity type:Organization
Organization Name:NUCARE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RINCON
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT, CES
Authorized Official - Phone:407-906-9003
Mailing Address - Street 1:2895 OCONNELL DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-7753
Mailing Address - Country:US
Mailing Address - Phone:407-906-9003
Mailing Address - Fax:407-641-8381
Practice Address - Street 1:2895 OCONNELL DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741-7753
Practice Address - Country:US
Practice Address - Phone:407-906-9003
Practice Address - Fax:407-641-8381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24417261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy