Briana Nicole Kidd I, DPT | |
100 Waymont Ct, Lake Mary, FL 32746-3412 | |
(407) 323-0399 | |
Not Available |
Full Name | Briana Nicole Kidd I |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 100 Waymont Ct, Lake Mary, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629540059 | NPI | - | NPPES |
PT28478 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT28478 (Florida) | Primary |
Provider Name | Axiomhealth Management Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1912456799 PECOS PAC ID: 3072897602 Enrollment ID: O20170228000464 |
Mailing Address | Practice Location Address |
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Briana Nicole Kidd I, DPT 605 Banderas Ave, Ocoee, FL 34761-2908 Ph: () - | Briana Nicole Kidd I, DPT 100 Waymont Ct, Lake Mary, FL 32746-3412 Ph: (407) 323-0399 |
Kelsie Church, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Platinum Pt, Lake Mary, FL 32746 Phone: 407-338-3161 | |
Dr. Katherine Ruth Nedved, PT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 339 Via Tuscany Loop, Lake Mary, FL 32746 Phone: 407-688-2210 | |
Miss Linda Mary Ferran, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 929 Beresford Way, Lake Mary, FL 32746 Phone: 407-321-4582 Fax: 407-328-7628 | |
Benjamin Gregory Cuenin, Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 International Pkwy, Suite 300, Lake Mary, FL 32746 Phone: 866-946-3718 | |
Dr. Ryan Parco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 International Pkwy, Suite 300, Lake Mary, FL 32746 Phone: 407-833-8815 | |
Serlah Dadine Puza, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 N Sun Dr, Lake Mary, FL 32746 Phone: 407-805-3131 | |
Dr. Janice Kathryn Plaisir, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 International Pkwy, Suite 260, Lake Mary, FL 32746 Phone: 800-719-6987 Fax: 800-719-7031 |