Diego A Blanco, PT | |
4148 N Armenia Ave Ste B, Tampa, FL 33607-6422 | |
(813) 458-0061 | |
Not Available |
Full Name | Diego A Blanco |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 4148 N Armenia Ave Ste B, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518542042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | PT36719 (Florida) | Primary |
Entity Name | Lucky Medical & Rehabilitation Center Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558014472 PECOS PAC ID: 2466848569 Enrollment ID: O20220329001541 |
Mailing Address | Practice Location Address |
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Diego A Blanco, PT 4148 N Armenia Ave Ste B, Tampa, FL 33607-6422 Ph: (813) 458-0061 | Diego A Blanco, PT 4148 N Armenia Ave Ste B, Tampa, FL 33607-6422 Ph: (813) 458-0061 |
Jordan Lee Huffman, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3250 Zemke Ave Bldg 1078, Tampa, FL 33621 Phone: 813-827-9390 | |
Kareem Qaisi, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 625 E Twiggs St Ste 103, Tampa, FL 33602 Phone: 813-228-7696 Fax: 813-228-0677 | |
Mrs. Diane D Zhao, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 14509 University Point Pl, Tampa, FL 33613 Phone: 813-910-1606 Fax: 813-866-4919 | |
Mr. Colin W Fitzgerald, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9724 N Armenia Ave, Suite 100, Tampa, FL 33612 Phone: 813-915-8666 | |
Dr. Sheryce Marie Andrews, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2914 N Boulevard, Tampa, FL 33602 Phone: 813-228-7696 Fax: 813-228-0677 | |
Jessica Bergin, ATC, LAT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 401 W Kennedy Blvd # I, Tampa, FL 33606 Phone: 813-253-6264 | |
Daniel Leary, DO Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 625 E Twiggs St Ste 103, Tampa, FL 33602 Phone: 813-228-7696 |