Mrs Melinda Tubera Prado, PT | |
925 S Semoran Blvd, 108, Winter Park, FL 32792-5313 | |
(877) 430-2772 | |
(800) 521-9608 |
Full Name | Mrs Melinda Tubera Prado |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 925 S Semoran Blvd, Winter 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 |
---|---|---|---|
1952697393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13146 (North Carolina) | Primary |
Provider Name | Kempsville Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619741139 PECOS PAC ID: 9032559687 Enrollment ID: O20240430000252 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melinda Tubera Prado, PT 720 Winslow Street, Hertford, NC 27944 Ph: (954) 999-3728 | Mrs Melinda Tubera Prado, PT 925 S Semoran Blvd, 108, Winter Park, FL 32792-5313 Ph: (877) 430-2772 |
Sunita Ruse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7203 Aloma Ave, Winter Park, FL 32792 Phone: 321-972-3960 Fax: 321-972-3960 | |
Melissa Gluckman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2071 Dundee Dr, Winter Park, FL 32792 Phone: 407-628-4188 | |
Mrs. Stephanie Marie Duberke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 S Orlando Ave, Winter Park, FL 32789 Phone: 407-691-7687 | |
Dr. Samuel John Essy, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 925 S Semoran Blvd Ste 110a, Winter Park, FL 32792 Phone: 888-830-1050 | |
Alexia Deshommes, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 W Fairbanks Ave, Winter Park, FL 32789 Phone: 321-842-4810 Fax: 321-842-4809 | |
Ms. Natalya Olivia Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1311 Minnesota Ave Suite C, Winter Park, FL 32789 Phone: 407-303-1575 | |
Mark Anthony Puza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 W Morse Blvd, Winter Park, FL 32789 Phone: 407-629-0286 |