Richard A Liles, MD | |
901 Clearwater Largo Rd N, Largo, FL 33770-4126 | |
(727) 584-4533 | |
(727) 581-7386 |
Full Name | Richard A Liles |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 901 Clearwater Largo Rd N, Largo, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740259621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | ME0056281 (Florida) | Primary |
Entity Name | Legacy Physiatry Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316078769 PECOS PAC ID: 1759353519 Enrollment ID: O20141014000387 |
Mailing Address | Practice Location Address |
---|---|
Richard A Liles, MD 901 Clearwater Largo Rd N, Largo, FL 33770-4126 Ph: (727) 584-4533 | Richard A Liles, MD 901 Clearwater Largo Rd N, Largo, FL 33770-4126 Ph: (727) 584-4533 |
Dr. P Mark Glencross, MD MPH PA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3665 E Bay Dr Ste 204-22, Largo, FL 33771 Phone: 979-393-0161 Fax: 866-548-6451 | |
Stacy Ann Jordan, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2025 Indian Rocks Rd S, Largo, FL 33774 Phone: 847-289-9572 Fax: 847-888-5469 | |
Geoffrey James Gibson, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2025 Indian Rocks Road, Largo, FL 33774 Phone: 727-430-5442 Fax: 727-399-9392 | |
Alissa A Kehs, P.T. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8254 118th Avenue North, Suite 100, Largo, FL 33773 Phone: 727-541-5304 Fax: 727-546-8527 | |
Stephanie Ann Webb, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 901 Clearwater Largo Rd N, Largo, FL 33770 Phone: 727-588-3400 | |
Matthew Cusumano, D.O. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2200 W Bay Dr, Largo, FL 33770 Phone: 727-518-2977 Fax: 727-518-0010 |