Juan Bedoya, | |
897 N Homestead Blvd, Homestead, FL 33030-5024 | |
(786) 217-0014 | |
Not Available |
Full Name | Juan Bedoya |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 897 N Homestead Blvd, 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 |
---|---|---|---|
1740396985 | NPI | - | NPPES |
PT16596 | Other | FL | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT16596 (Florida) | Primary |
Provider Name | Florida Luna Care Physical Therapy Llc |
---|---|
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 |
---|---|
Juan Bedoya, 9821 Sw 120th St, Miami, FL 33176-4903 Ph: (305) 969-1167 | Juan Bedoya, 897 N Homestead Blvd, Homestead, FL 33030-5024 Ph: (786) 217-0014 |
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 | |
Gregg D Fiske, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 18701 Sw 291st Ter, Homestead, FL 33030 Phone: 305-801-1616 | |
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 |