Provider Demographics
NPI:1447637582
Name:PRACTITIONERS IN MOTION PLLC
Entity type:Organization
Organization Name:PRACTITIONERS IN MOTION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIOLKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:321-720-5905
Mailing Address - Street 1:960 WHISPEROAK DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-8135
Mailing Address - Country:US
Mailing Address - Phone:321-720-5905
Mailing Address - Fax:321-216-2255
Practice Address - Street 1:2263 W NEW HAVEN AVE
Practice Address - Street 2:#350
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-3805
Practice Address - Country:US
Practice Address - Phone:321-216-2288
Practice Address - Fax:321-216-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-28
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care