Joseph Michael Frustaci, PT | |
1658 St Vincents Way, Suite 100, Middleburg, FL 32068-8446 | |
(904) 634-0640 | |
(904) 634-0203 |
Full Name | Joseph Michael Frustaci |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 18 Years |
Location | 1658 St Vincents Way, Middleburg, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750499109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 22696 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Orthopedic Specialists Llc | 1456246974 | 116 |
Provider Name | Southeast Orthopedic Specialists Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629025820 PECOS PAC ID: 1456246974 Enrollment ID: O20040216000301 |
Mailing Address | Practice Location Address |
---|---|
Joseph Michael Frustaci, PT 6500 Bowden Rd, Suite 103, Jacksonville, FL 32216-8070 Ph: (904) 634-0640 | Joseph Michael Frustaci, PT 1658 St Vincents Way, Suite 100, Middleburg, FL 32068-8446 Ph: (904) 634-0640 |
Brooke Lucas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1658 St Vincents Way Ste 100b, Middleburg, FL 32068 Phone: 904-214-3313 | |
Micah Thomas Trent, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2219 County Road 220, Middleburg, FL 32068 Phone: 904-644-7722 | |
Tara Reeves Vollertsen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2219 County Road 220 Ste 304, Middleburg, FL 32068 Phone: 360-707-8107 | |
Katherine Wenger, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2580-3 Country Road 220, Suite 3, Middleburg, FL 32068 Phone: 855-242-6608 Fax: 855-242-6609 | |
Mrs. Kasey K Murray, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1658 St Vincents Way Ste 100b, Middleburg, FL 32068 Phone: 904-214-3083 | |
Lindsey Pleasants, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1658 St Vincents Way Ste 100, Middleburg, FL 32068 Phone: 904-214-3313 Fax: 904-406-0913 | |
Whitney Renee Kopernik, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2219 County Road 220 Ste 304, Middleburg, FL 32068 Phone: 904-644-7722 |