David Gancedo, PTA is a
Physical Therapy Assistant physician based in North Miami Beach, Florida. David Gancedo is licensed to practice in Florida (license number PTA28227) and his current practice location is 2020 Ne 163rd St Ste 207, North Miami Beach, Florida. He can be reached at his office (for appointments etc.) via phone at
(305) 949-6461.
NPI number for David Gancedo is 1063971778 and his current mailing address is 3718 Nw 12th Ter, Miami, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063971778.
Physician's Profile
Full Name | David Gancedo |
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Gender | Male |
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Speciality | Physical Therapy Assistant |
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Location | 2020 Ne 163rd St Ste 207, North Miami Beach, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063971778
- Provider Enumeration Date: 03/13/2019
- Last Update Date: 03/13/2019
Medical Identifiers
Medical identifiers for David Gancedo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063971778 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | PTA29228 (Florida) | Secondary |
225200000X | Physical Therapy Assistant | PTA28227 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Gancedo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
David Gancedo, PTA 3718 Nw 12th Ter, Miami, FL 33126-2617 Ph: (305) 917-5920 | David Gancedo, PTA 2020 Ne 163rd St Ste 207, North Miami Beach, FL 33162-4927 Ph: (305) 949-6461 |
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