Angela Bibiana Gonzalez, RPT | |
11380 Sw 113th Ter, Miami, FL 33176-3829 | |
(786) 426-7570 | |
Not Available |
Full Name | Angela Bibiana Gonzalez |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 11380 Sw 113th Ter, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134349863 | NPI | - | NPPES |
PT 20342 | Other | FL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 20342 (Florida) | Primary |
Provider Name | Jumping Step By Step Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477986933 PECOS PAC ID: 3779807052 Enrollment ID: O20150114001504 |
Mailing Address | Practice Location Address |
---|---|
Angela Bibiana Gonzalez, RPT 8415 Sw 24th St Ste 205, Miami, FL 33155-2305 Ph: (305) 262-6868 | Angela Bibiana Gonzalez, RPT 11380 Sw 113th Ter, Miami, FL 33176-3829 Ph: (786) 426-7570 |
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