Mrs Zaida Liz Coronado, DPT | |
139 S Pebble Beach Blvd, Suite 203, Sun City Center, FL 33573-5799 | |
(813) 633-5768 | |
Not Available |
Full Name | Mrs Zaida Liz Coronado |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 139 S Pebble Beach Blvd, Sun City Center, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033493093 | NPI | - | NPPES |
Y911W | Other | FL | BLUE CROSS BLUE SHIELD |
114090400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26818 (Florida) | Primary |
Provider Name | University Medical Service Association Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Mailing Address | Practice Location Address |
---|---|
Mrs Zaida Liz Coronado, DPT Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Mrs Zaida Liz Coronado, DPT 139 S Pebble Beach Blvd, Suite 203, Sun City Center, FL 33573-5799 Ph: (813) 633-5768 |
Zachary Snyder, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 231 Courtyard Blvd, Sun City Center, FL 33573 Phone: 813-633-2378 | |
Janice Ward, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 912 American Eagle Blvd, Sun City Center, FL 33573 Phone: 813-633-3066 | |
Sydney Kay Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 741 Cortaro Dr, Sun City Center, FL 33573 Phone: 813-773-7273 | |
Michael James Boully Jr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1513 Sun City Center Plz, Sun City Center, FL 33573 Phone: 813-634-6022 Fax: 813-634-6053 | |
Joseph Daniel Russell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 912 American Eagle Blvd, Sun City Center, FL 33573 Phone: 813-633-3066 | |
Rehab Axis Staffing And Management, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 255 Courtyard Blvd, Sun City Center, FL 33573 Phone: 813-633-2887 Fax: 813-864-2671 |