Gregg D Fiske, PHYSICAL THERAPIST | |
18701 Sw 291st Ter, Homestead, FL 33030-3014 | |
(305) 801-1616 | |
Not Available |
Full Name | Gregg D Fiske |
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Gender | Male |
Speciality | Physical Therapist |
Location | 18701 Sw 291st Ter, Homestead, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114958162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT15371 (Florida) | Primary |
Provider Name | Restorative Health Rehabilitation Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649599168 PECOS PAC ID: 8022303585 Enrollment ID: O20160823000787 |
Mailing Address | Practice Location Address |
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Gregg D Fiske, PHYSICAL THERAPIST 815 North Homestead Boulevard, Box 113, Homestead, FL 33030-5024 Ph: (305) 801-1616 | Gregg D Fiske, PHYSICAL THERAPIST 18701 Sw 291st Ter, Homestead, FL 33030-3014 Ph: (305) 801-1616 |
Maria A. Bravo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 897 N Homestead Blvd Ste 101, Homestead, FL 33030 Phone: 786-217-0014 Fax: 786-217-0020 | |
Michelle Nicole Garcia-casals, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30342 Old Dixie Hwy, Homestead, FL 33033 Phone: 305-246-3828 | |
Mr. Robert James Kidd, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27335 Sw 142nd Ave, Homestead, FL 33032 Phone: 786-261-5090 | |
Merkeva Braithwaite, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 897 N Homestead Blvd Ste 101, Homestead, FL 33030 Phone: 786-217-0014 | |
Ricardo Ancajima, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 897 N Homestead Blvd Ste 101, Homestead, FL 33030 Phone: 786-217-0014 Fax: 786-217-0020 | |
Amanda Lyn Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13231 Sw 262nd Ter, Homestead, FL 33032 Phone: 305-458-6958 |