Organization Active NPI

Resurgence Care, PLLC

  • Physical Therapist
  • Winter Haven, FL
National Provider Identifier
1366077547
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESURGENCE CARE, PLLC
Practice address
537 E Central Ave Ste a
Winter Haven, FL 33880-3001
Phone
(863) 307-3005
Fax
(863) 307-3005
NPI assigned
Mar 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Edwin Munoz Soriano, PT, DPTNPI 1023147279
Title
Ambr
Phone
(863) 412-5479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

537 E Central Ave Ste a
Winter Haven, FL 33880-3001

Mailing address

PO Box 1696
Winter Haven, FL 33882-1696
Phone (863) 307-3005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583539200000",
    "number": "1366077547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1696",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338821696",
            "telephone_number": "863-307-3005",
            "fax_number": "863-307-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 E CENTRAL AVE STE A",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803001",
            "telephone_number": "863-307-3005",
            "fax_number": "863-307-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "MUNOZ",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "863-412-5479",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.