Garrett's Fight Foundation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GARRETT'S FIGHT FOUNDATION

Practice address

12330 SW 53Rd St
Unit 707
Cooper City, FL 33330

Phone

(954) 270-9746

NPI assigned

Jun 29, 2017

Last updated

Jun 29, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mitchell Holeve

Title

President

Phone

(954) 270-9746

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498694400000",
    "number": "1376064345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10691 LONDON ST",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33026",
            "telephone_number": "954-270-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 SW 53RD ST",
            "address_2": "UNIT 707",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33330",
            "telephone_number": "954-270-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT'S FIGHT FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A",
        "authorized_official_last_name": "HOLEVE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-270-9746",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frontier Pharmacies
• Richard E Gach Jr., PT
• Asmita Gandhi
• Madeline Garay
• Andy Garcia, MMS, PA-C
• Aeleen B. Garrido-Tortorici, M.S., L.M.H.C.
• Kiren George, DMD
• Seth Andrew Gilson, DMD
• Susan Glantz Volk
• Nicole Beth Glanzt, RD, LD/N

• Physical Medicine & Rehabilitation Physician in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; 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.