Jeremy Baber, PT | |
4102 S Carlisle Rd, Lakeland, FL 33813-1617 | |
(678) 222-8354 | |
Not Available |
Full Name | Jeremy Baber |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4102 S Carlisle Rd, Lakeland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568603116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 31906 (Florida) | Primary |
Provider Name | Sobe Innovative Rehabilitation Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1164800595 PECOS PAC ID: 4789994336 Enrollment ID: O20151110002827 |
Mailing Address | Practice Location Address |
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Jeremy Baber, PT 4102 S Carlisle Rd, Lakeland, FL 33813-1617 Ph: (678) 222-8354 | Jeremy Baber, PT 4102 S Carlisle Rd, Lakeland, FL 33813-1617 Ph: (678) 222-8354 |
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