Laurence Perez Aquino, DPT,PT,MBA,OCS | |
9375 Emerald Coast Pkwy W # A-1, Miramar Beach, FL 32550-7274 | |
(850) 278-3770 | |
Not Available |
Full Name | Laurence Perez Aquino |
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Gender | Male |
Speciality | Physical Therapist |
Location | 9375 Emerald Coast Pkwy W # A-1, Miramar Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1982094108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | PT010369 (Georgia) | Secondary |
225100000X | Physical Therapist | PT29722 (Florida) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740720002 PECOS PAC ID: 5193036432 Enrollment ID: O20170720002185 |
Mailing Address | Practice Location Address |
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Laurence Perez Aquino, DPT,PT,MBA,OCS 99 Eagle Bay Ln, Santa Rosa Beach, FL 32459-8370 Ph: (912) 512-2261 | Laurence Perez Aquino, DPT,PT,MBA,OCS 9375 Emerald Coast Pkwy W # A-1, Miramar Beach, FL 32550-7274 Ph: (850) 278-3770 |
Sherrie Ann Lanceta Aquino, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7720 Us Highway 98 W Ste 220, Miramar Beach, FL 32550 Phone: 850-622-5192 Fax: 850-622-5196 | |
Samantha Marie Uy, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9375 Emerald Coast Pkwy W, Miramar Beach, FL 32550 Phone: 850-278-3770 | |
Meagan C. Boyle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7720 Us Highway 98 W, Suite 220, Miramar Beach, FL 32550 Phone: 850-622-5192 | |
Ezra Rodgers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Payne St Lot 8, Miramar Beach, FL 32550 Phone: 850-346-1547 | |
Mrs. Teri Mandel Hinckley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7800 Us Highway 98 W, Miramar Beach, FL 32550 Phone: 850-622-5192 | |
Kaleb Cruise, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7720 Us Highway 98 W Ste 220, Miramar Beach, FL 32550 Phone: 402-276-0918 | |
Ms. Amy Rozetta Arnold, PT, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7720 U.s. Highway 98 W, Suite 220, Miramar Beach, FL 32550 Phone: 850-622-5192 Fax: 850-622-5196 |