| |
3721 S Hwy 27 Ste B, Clermont, FL 34711-7919 | |
(352) 255-6130 | |
(407) 378-4154 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 3721 S Hwy 27 Ste B, Clermont, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407164841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | PT5880 (Florida) | Primary |
Provider Name | Hitu B Patel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1528115110 PECOS PAC ID: 7719910710 Enrollment ID: I20050913000104 |
Provider Name | Mary Angelie Garay |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326086885 PECOS PAC ID: 8426057951 Enrollment ID: I20061212000056 |
Provider Name | Carmen Medina |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386747293 PECOS PAC ID: 4183764384 Enrollment ID: I20091219000113 |
Mailing Address | Practice Location Address |
---|---|
614 E Hwy 50 # 129, Clermont, FL 34711-3164 Ph: (352) 255-6130 | 3721 S Hwy 27 Ste B, Clermont, FL 34711-7919 Ph: (352) 255-6130 |