Dexter Paul Lumaque, | |
5918 N Davis Hwy, Pensacola, FL 32503-2050 | |
(850) 828-8759 | |
Not Available |
Full Name | Dexter Paul Lumaque |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation - Neuromuscular Medicine |
Location | 5918 N Davis Hwy, Pensacola, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1710688387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2081N0008X | Physical Medicine & Rehabilitation - Neuromuscular Medicine | PT29104 (Florida) | Primary |
Entity Name | Aegis Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740720002 PECOS PAC ID: 5193036432 Enrollment ID: O20170720002185 |
Mailing Address | Practice Location Address |
---|---|
Dexter Paul Lumaque, 3520 Summit Blvd, Pensacola, FL 32503-5154 Ph: (850) 368-0235 | Dexter Paul Lumaque, 5918 N Davis Hwy, Pensacola, FL 32503-2050 Ph: (850) 828-8759 |
Melissa Grace Triplett, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1000 W Moreno St, Pensacola, FL 32501 Phone: 850-437-5500 | |
Allen Degges, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 5100 N 12th Ave Ste 102, Pensacola, FL 32504 Phone: 850-208-6481 Fax: 850-208-6489 | |
Mrs. Janet Breaux, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 790 Veterans Way, Pensacola, FL 32507 Phone: 850-609-2801 | |
Michelle Rae Conrad, PTA, LMT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 790 Veterans Way, Pensacola, FL 32507 Phone: 850-912-2377 | |
Marisa Jean Terry, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 9400 University Pkwy, Suite 407, Pensacola, FL 32514 Phone: 850-916-8700 | |
Haliegh Castonguay, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2065 Airport Blvd Ste 300, Pensacola, FL 32504 Phone: 850-477-6966 | |
Dr. Gael Jean Yonnet, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8391 N Davis Hwy, Pensacola, FL 32514 Phone: 850-494-4000 Fax: 866-947-4181 |