<Unavail>

LBN: Pro Vita Physical Therapy Llc
<Unavail> is an health care organization with primary practice located at 411 Racetrack Rd Ne , Fort Walton Beach FL 32547-2503. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Pro Vita Physical Therapy Llc can be contacted via phone (850) 331-3017, or through Bulla, Carla J via phone (850) 331-3017.

Contact Information

Primary practice address
411 Racetrack Rd Ne Fort Walton Beach FL 32547-2503
Phone: (850) 331-3017
Fax: (855) 978-1838
Website:
Map and Directions
Authorized official contact:
Name: Bulla, Carla J MED, PT, DPT, ATC
Phone: (850) 331-3017

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1841944535
LBN Legal business name Pro Vita Physical Therapy Llc
DBA Doing business as <Unavail>
Authorized official Bulla, Carla J MED, PT, DPT, ATC
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 10th, 2022
Last updated Sep 21st, 2026 - about last month

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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