| |
8000 Ron Beatty Blvd Ste A-5, Micco, FL 32976-7473 | |
(321) 622-5707 | |
(321) 622-8557 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 8000 Ron Beatty Blvd Ste A-5, Micco, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972299881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Patrick A Baden |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144268632 PECOS PAC ID: 1557344462 Enrollment ID: I20040611000093 |
Mailing Address | Practice Location Address |
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8000 Ron Beatty Blvd Ste A-5, Micco, FL 32976-7473 Ph: (321) 622-5707 | 8000 Ron Beatty Blvd Ste A-5, Micco, FL 32976-7473 Ph: (321) 622-5707 |