Mr Oscar Bryan Kelley Villanueva, PT | |
7530 103rd St Ste 13, Jacksonville, FL 32210-6786 | |
(904) 771-3679 | |
(888) 231-3159 |
Full Name | Mr Oscar Bryan Kelley Villanueva |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 28 Years |
Location | 7530 103rd St Ste 13, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164509378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT18430 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Access Physical Therapy Llc | 7315097235 | 2 |
Provider Name | Access Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1942453105 PECOS PAC ID: 7315097235 Enrollment ID: O20090615000198 |
Mailing Address | Practice Location Address |
---|---|
Mr Oscar Bryan Kelley Villanueva, PT 4898 Deeder Court, Jacksonville, FL 32258-4209 Ph: (904) 880-6591 | Mr Oscar Bryan Kelley Villanueva, PT 7530 103rd St Ste 13, Jacksonville, FL 32210-6786 Ph: (904) 771-3679 |
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