Ms Lizette Josefina Fagundo, MPT | |
2590 Sw 107th Ave, Miami, FL 33165-2400 | |
(305) 226-7718 | |
(305) 226-7941 |
Full Name | Ms Lizette Josefina Fagundo |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 2590 Sw 107th Ave, Miami, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124139852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT19177 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rehabilitation Of South Florida Inc | 4486696382 | 2 |
Provider Name | Rehabilitation Of South Florida Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437158037 PECOS PAC ID: 4486696382 Enrollment ID: O20050601000263 |
Mailing Address | Practice Location Address |
---|---|
Ms Lizette Josefina Fagundo, MPT 2590 Sw 107th Ave, Miami, FL 33165-2400 Ph: (305) 226-7718 | Ms Lizette Josefina Fagundo, MPT 2590 Sw 107th Ave, Miami, FL 33165-2400 Ph: (305) 226-7718 |
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