Joseph R Zucco, PT | |
4655 66th St N, Kenneth City, FL 33709-4827 | |
(727) 546-4700 | |
(727) 549-8108 |
Full Name | Joseph R Zucco |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4655 66th St N, Kenneth City, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588606073 | NPI | - | NPPES |
5Y374 | Other | AR | BLUE CROSS BLUE SHIELD |
P00277504 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2818 (Arkansas) | Secondary |
225100000X | Physical Therapist | PT364443 (Florida) | Primary |
Provider Name | Sports And Orthopedic Rehabilitation Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336539030 PECOS PAC ID: 0840104253 Enrollment ID: O20170728000765 |
Mailing Address | Practice Location Address |
---|---|
Joseph R Zucco, PT 4655 66th St N, Kenneth City, FL 33709-4827 Ph: (727) 546-4700 | Joseph R Zucco, PT 4655 66th St N, Kenneth City, FL 33709-4827 Ph: (727) 546-4700 |
Tanner Shellenbarger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4655 66th St N Ste 22b, Kenneth City, FL 33709 Phone: 727-546-4700 | |
Amber Knight, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6006 47th Ave N, Kenneth City, FL 33709 Phone: 318-680-8467 | |
Verlyrose Christine Taruc Torres, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4250 66th St N, Kenneth City, FL 33709 Phone: 727-546-2405 | |
Cristina Brassil, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4356 66th St N, Kenneth City, FL 33709 Phone: 727-546-4700 | |
Mrs. Kristy Ann Lake, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4356 66th St N, Kenneth City, FL 33709 Phone: 727-546-4700 Fax: 727-549-8108 |