Jorge Porter-wolf, DPT | |
11061 Sw 58th Ter, Miami, FL 33173-1105 | |
(786) 266-5255 | |
Not Available |
Full Name | Jorge Porter-wolf |
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Gender | Male |
Speciality | Physical Therapist |
Location | 11061 Sw 58th 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 |
---|---|---|---|
1588339139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT35317 (Florida) | Primary |
Provider Name | Florida Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1114542032 PECOS PAC ID: 3779991559 Enrollment ID: O20210415001126 |
Mailing Address | Practice Location Address |
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Jorge Porter-wolf, DPT 11061 Sw 58th Ter, Miami, FL 33173-1105 Ph: (786) 266-5255 | Jorge Porter-wolf, DPT 11061 Sw 58th Ter, Miami, FL 33173-1105 Ph: (786) 266-5255 |
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