| Samantha Maffucci, OT | |
|
3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 | |
| (386) 258-9502 | |
| (386) 239-9781 |
| Full Name | Samantha Maffucci |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3127 W International Speedway Blvd, Daytona Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831956408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT25046 (Florida) | Primary |
| Provider Name | Trident Sports Medicine And Rehabilitation Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811766637 PECOS PAC ID: 4688027295 Enrollment ID: O20240131001031 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Maffucci, OT 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 Ph: (386) 258-9502 | Samantha Maffucci, OT 3127 W International Speedway Blvd, Daytona Beach, FL 32124-1070 Ph: (386) 258-9502 |
Dr. Tyler Scott Lacertosa, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 201 N Clyde Morris Blvd Ste 300, Daytona Beach, FL 32114 Phone: 386-236-7017 | |
Savannah Booker, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 570 National Health Care Dr, Daytona Beach, FL 32114 Phone: 386-238-3333 | |
Deidre Ann Shimp, OCCUPATIONAL THERAPY Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-255-4568 Fax: 386-252-3403 | |
Mr. Kirk Andrew Denning, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N Clyde Morris Blvd, Suite 300, Daytona Beach, FL 32114 Phone: 386-236-7017 | |
Deborah G Neller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 385-255-4568 | |
Mrs. Delia Iris Gonzalez, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 211 N Ridgewood Ave Ste 300, Daytona Beach, FL 32114 Phone: 386-235-6080 | |
Jessica Dailey, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1219 Dunn Ave, Daytona Beach, FL 32114 Phone: 386-255-4568 |