Mr Deogenes De Asas Enteria Jr, PT is a
Physical Therapist based in Fort Lauderdaxle, Florida. Mr Deogenes De Asas Enteria Jr is licensed to practice in Pennsylvania (license number PT018712) and his current practice location is
3201 W. Commercial Blvd., Suite 116, Fort Lauderdaxle, Florida. He can be reached at his office (for appointments etc.) via phone at
(954) 332-4445.
NPI number for Mr Deogenes De Asas Enteria Jr is 1669652863 and his current mailing address is 3290 North Ridge Road Executive Center Ii, Suite 290, Ellicott City, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669652863.
Healthcare Provider's Profile
Full Name | Mr Deogenes De Asas Enteria Jr |
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Gender | Male |
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Speciality | Physical Therapist |
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Location | 3201 W. Commercial Blvd., Fort Lauderdaxle, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669652863
- Provider Enumeration Date: 11/06/2007
- Last Update Date: 11/06/2007
Medical Identifiers
Medical identifiers for Mr Deogenes De Asas Enteria Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669652863 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT018712 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Deogenes De Asas Enteria Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Deogenes De Asas Enteria Jr, PT 3290 North Ridge Road Executive Center Ii, Suite 290, Ellicott City, MD 21043-3655 Ph: (410) 750-9006 | Mr Deogenes De Asas Enteria Jr, PT 3201 W. Commercial Blvd., Suite 116, Fort Lauderdaxle, FL 33309-3440 Ph: (954) 332-4445 |
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