| N/a | |
|
777 Se 20th St Ste 200, Fort Lauderdale, FL 33316-3589 | |
| (954) 302-7717 | |
| (754) 216-2749 |
| Full Name | N/a |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 777 Se 20th St Ste 200, Fort Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356660690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Alex Lage |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770663395 PECOS PAC ID: 9830262955 Enrollment ID: I20080723000543 |
| Provider Name | Kevin C Mills |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952628414 PECOS PAC ID: 7012294911 Enrollment ID: I20170502001406 |
| Provider Name | Marcos Jimenez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326590555 PECOS PAC ID: 8628355260 Enrollment ID: I20170508001665 |
| Provider Name | Janessie Mena |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518445584 PECOS PAC ID: 2961756523 Enrollment ID: I20181116002264 |
| Provider Name | Cierra Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043972177 PECOS PAC ID: 7012397607 Enrollment ID: I20220628003610 |
| Provider Name | Michael Carvajal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629782131 PECOS PAC ID: 2860865219 Enrollment ID: I20230306000750 |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 632 N Federal Highway, Fort Lauderdale, FL 33304 Ph: (954) 929-3006 | N/a 777 Se 20th St Ste 200, Fort Lauderdale, FL 33316-3589 Ph: (954) 302-7717 |
Mr. Gerwyn Erick Pimentel Dael, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3201 W Commercial Blvd, Suite 116, Fort Lauderdale, FL 33309 Phone: 954-332-4446 | |
Charina Monton Desaulniers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19376 Sw 65th St, Suite 102, Fort Lauderdale, FL 33332 Phone: 954-252-2705 Fax: 954-252-0524 | |
Mrs. Daniela Sales Long, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4324 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-369-5787 Fax: 954-206-7733 | |
Christiana Marron, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E Broward Blvd Ste 102, Fort Lauderdale, FL 33301 Phone: 845-629-6122 Fax: 954-999-0116 | |
Michelle Denise Cleveland Gonzalez, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6000 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-771-2551 | |
Mr. Kurt C Klein, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2655 E Oakland Park Blvd Ste 3, Fort Lauderdale, FL 33306 Phone: 954-472-7526 Fax: 954-472-5605 | |
Mrs. Bonilyn Lora Gamboa, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3201 W Commercial Blvd, Suite 116, Fort Lauderdale, FL 33309 Phone: 954-332-4445 |