Leonilo Pablo Jr, | |
1218 Park Ave, Orange Park, FL 32073-4152 | |
(904) 269-2437 | |
(904) 264-2330 |
Full Name | Leonilo Pablo Jr |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1218 Park Ave, Orange Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548667520 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT29880 (Florida) | Primary |
Provider Name | Ati Holdings Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061020000349 |
Provider Name | Ati Holdings Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061023000321 |
Mailing Address | Practice Location Address |
---|---|
Leonilo Pablo Jr, 12357 Hollow Glade Ct, Jacksonville, FL 32246-4205 Ph: (904) 269-2437 | Leonilo Pablo Jr, 1218 Park Ave, Orange Park, FL 32073-4152 Ph: (904) 269-2437 |
Cindy Guo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Park Ave, Orange Park, FL 32073 Phone: 904-278-7890 | |
Susan Murray, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 839 Westminster Dr, Orange Park, FL 32073 Phone: 904-276-0938 Fax: 904-276-4785 | |
Renee Lehosit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1555 Kingsley Ave, Orange Park, FL 32073 Phone: 904-215-8600 | |
Nedzad Cavka, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2300 Park Ave, Suite 203, Orange Park, FL 32073 Phone: 904-634-0640 Fax: 904-634-0203 | |
Crystle Taiyo Kearley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1675 Eagle Harbor Pkwy, Orange Park, FL 32003 Phone: 904-637-0148 | |
Susan I Murray Pa Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 839 Westminster Dr, Orange Park, FL 32073 Phone: 904-376-5194 | |
Steven Short, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 540 Kingsley Ave, Orange Park, FL 32073 Phone: 904-264-2156 |