Mr Gustavo J Medosky, LMT is a
Physical Therapy Assistant based in Plantation, Florida. Mr Gustavo J Medosky is licensed to practice in Florida (license number PTA27822) and his current practice location is
205 Sw 84th Ave, Plantation, Florida. He can be reached at his office (for appointments etc.) via phone at
(954) 536-0767.
NPI number for Mr Gustavo J Medosky is 1578752549 and his current mailing address is 6681 Sw 20th St, Plantation, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578752549.
Healthcare Provider's Profile
Full Name | Mr Gustavo J Medosky |
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Gender | Male |
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Speciality | Physical Therapy Assistant |
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Location | 205 Sw 84th Ave, Plantation, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578752549
- Provider Enumeration Date: 10/16/2007
- Last Update Date: 11/28/2018
Medical Identifiers
Medical identifiers for Mr Gustavo J Medosky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578752549 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA19949 (Florida) | Secondary |
225200000X | Physical Therapy Assistant | PTA27822 (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. Mr Gustavo J Medosky 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 |
Mr Gustavo J Medosky, LMT 6681 Sw 20th St, Plantation, FL 33317-5104 Ph: (954) 536-0767 | Mr Gustavo J Medosky, LMT 205 Sw 84th Ave, Plantation, FL 33324-2708 Ph: (954) 536-0767 |
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