| C12 Medical Llc | |
|
333 16th Ave Se, Largo, FL 33771-4407 | |
| (727) 251-7782 | |
| Not Available |
| Full Name | C12 Medical Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 333 16th Ave Se, Largo, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972071801 | NPI | - | NPPES |
| OT10920 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| C12 Medical Llc 8498 108th Way, Seminole, FL 33772-4318 Ph: (727) 251-7782 | C12 Medical Llc 333 16th Ave Se, Largo, FL 33771-4407 Ph: (727) 251-7782 |
Nicole Albert, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Oak Manor Ln, Largo, FL 33774 Phone: 727-581-9427 | |
Stephanie May, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2130 E Bay Dr, Largo, FL 33771 Phone: 727-587-0582 Fax: 727-587-0583 | |
Jenna Hazuda, MOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 8254 118th Ave Ste 100, Largo, FL 33773 Phone: 727-541-5304 | |
Encore Preakness, Inc. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Oak Manor Ln, Largo, FL 33774 Phone: 727-581-9427 Fax: 727-587-0059 | |
Alicia Carroll, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3500 Oak Manor Ln, Largo, FL 33774 Phone: 727-581-9427 | |
Alexis Jansen, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11355 131st St, Largo, FL 33774 Phone: 727-593-0403 | |
Rachel Egger, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3600 Oak Manor Lane, Largo, FL 33774 Phone: 727-581-9427 |